Provider Demographics
NPI:1104582915
Name:JONES, SIMONE NECOLE (LMLP)
Entity type:Individual
Prefix:
First Name:SIMONE
Middle Name:NECOLE
Last Name:JONES
Suffix:
Gender:F
Credentials:LMLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10777 BARKLEY ST STE 120
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1162
Mailing Address - Country:US
Mailing Address - Phone:913-204-0582
Mailing Address - Fax:
Practice Address - Street 1:10777 BARKLEY ST STE 120
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1162
Practice Address - Country:US
Practice Address - Phone:913-204-0582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-16
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS03039103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist