Provider Demographics
NPI:1053079087
Name:SIMMONS, BRITTANY JANE (LCSW)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:JANE
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301 FLAMELEAF PL
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75249-1411
Mailing Address - Country:US
Mailing Address - Phone:214-585-9348
Mailing Address - Fax:
Practice Address - Street 1:7301 FLAMELEAF PL
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75249-1411
Practice Address - Country:US
Practice Address - Phone:214-585-9348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-07
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1064781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical