Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 1329 | NE |
N | 101YM0800X | Mental Health Counselor | 3766 | NE |
N | 101YM0800X | Mental Health Counselor | 8303 | NE |
NPI | 1992999684 |
---|---|
Provider Name | Ms. Janelle Lynn Simms |
First Address | Omaha, NE 68106-0112 |
Second Address | Omaha, NE 68105-2939 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2007 |
Last Update Date | 08/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10025885000 | (05) | NE |