Provider Demographics
NPI:1962802702
Name:SIMS, MEI (MA, LMHC)
Entity type:Individual
Prefix:
First Name:MEI
Middle Name:
Last Name:SIMS
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10619 NE174TH PL
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-3777
Mailing Address - Country:US
Mailing Address - Phone:425-879-0687
Mailing Address - Fax:425-485-8369
Practice Address - Street 1:18737 68TH AVE NE
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:WA
Practice Address - Zip Code:98028-2606
Practice Address - Country:US
Practice Address - Phone:425-939-1490
Practice Address - Fax:425-485-8369
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-29
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60042010101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health