Provider Demographics
NPI:1982200499
Name:SIMKINS-ARIS, TERESA DAWN (EDD)
Entity type:Individual
Prefix:DR
First Name:TERESA
Middle Name:DAWN
Last Name:SIMKINS-ARIS
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2627 E THOMAS RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-8227
Mailing Address - Country:US
Mailing Address - Phone:307-214-4815
Mailing Address - Fax:602-237-5996
Practice Address - Street 1:2627 E THOMAS RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-8227
Practice Address - Country:US
Practice Address - Phone:602-237-5575
Practice Address - Fax:602-237-5996
Is Sole Proprietor?:No
Enumeration Date:2020-12-09
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-19154101Y00000X, 101YP2500X, 101YS0200X
103K00000X, 106S00000X, 171M00000X, 221700000X, 225400000X, 225800000X, 246YR1600X, 373H00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist
No246YR1600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationRegistered Record Administrator
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist