Provider Demographics
NPI:1699594093
Name:SIMMS, TONI (SOCIAL WORKER)
Entity type:Individual
Prefix:
First Name:TONI
Middle Name:
Last Name:SIMMS
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2610 SUMPTER TRL
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30012-2871
Mailing Address - Country:US
Mailing Address - Phone:678-325-9843
Mailing Address - Fax:
Practice Address - Street 1:2610 SUMPTER TRL
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30012-2871
Practice Address - Country:US
Practice Address - Phone:678-325-9843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA005670104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker