Willie Simmons
Willie Simmons is a Community/Behavioral Health Agency in Upper Marlboro, Maryland. Licensed in District of Columbia and Maryland. Registered with an NPI since 2015.
- Licensed in
- DC, MD
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
12500 Clearwater WayUpper Marlboro, MD 20772-6600
Phone: (240) 432-9338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 20930 (MD) |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X · Licence LC50079182 (DC) |
Record details
| NPI number | 1699144402 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Willie Simmons — Mr. · (240) 432-9338 |
| NPI enumerated | September 22, 2015 |
| Last updated in NPPES | September 22, 2015 |
| Mailing address | 12500 Clearwater Way, Upper Marlboro, MD 20772-6600 |
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