Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Simone Nichole Perry, EDM

Individual provider Poetry Therapist · NPI 1518604255

Simone Nichole Perry, EDM is a Poetry Therapist in Woodside, New York. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

6714 41st Ave
Woodside, NY 11377-8128
Phone: (718) 651-7770
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Poetry Therapist Taxonomy 102X00000X

Record details

NPI number1518604255
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDM
Sole proprietorYes
NPI enumeratedMay 15, 2022
Last updated in NPPESMay 15, 2022
Certification dateMay 15, 2022
Mailing address10532 Flatlands 1st St Fl 1, Brooklyn, NY 11236-3008