Provider Demographics
NPI:1548890726
Name:SIMMERSON, HEATHER MARIE (LPC)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:MARIE
Last Name:SIMMERSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:MARIE
Other - Last Name:SIMMERSON-CLAPP
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:520 HENDRICKS RD
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29642-9538
Mailing Address - Country:US
Mailing Address - Phone:864-508-6251
Mailing Address - Fax:
Practice Address - Street 1:1664 E MAIN ST STE 203
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29640-3790
Practice Address - Country:US
Practice Address - Phone:864-508-6251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-16
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7357101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health