Provider Information for 1699320663
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HEATHER SIMS LPC
Sex: Female
NPI: 1699320663
Last Updated: 2024-03-12
Certification Date: 2024-03-12
Certification Date: 2024-03-12
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1699320663 | ||||||||
| Enumeration Date | 2019-08-07 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 421 GARY DR MOUNT OLIVE, AL 35117-3230 United States Phone: 205-500-2145 | Fax: | ||||||||
| Primary Practice Address | 2100 SOUTHBRIDGE PKWY STE 650 BIRMINGHAM, AL 35209-1317 United States Phone: 646-941-7645 | Fax:929-596-7897 | ||||||||
| Secondary Practice Address(es) | 421 GARY DR | ||||||||
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