Provider Demographics
NPI:1417516865
Name:SIMEUS, SYDNEY LYNN (LPC)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:LYNN
Last Name:SIMEUS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:LYNN
Other - Last Name:PHILLIPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1600 W CARLA VISTA DR.
Mailing Address - Street 2:#304
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224
Mailing Address - Country:US
Mailing Address - Phone:505-850-4171
Mailing Address - Fax:602-230-5105
Practice Address - Street 1:1600 W CARLA VISTA DR.
Practice Address - Street 2:#304
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224
Practice Address - Country:US
Practice Address - Phone:480-427-0037
Practice Address - Fax:480-427-0122
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-10
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-18099101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional