Provider Demographics
NPI:1053169276
Name:SIMPSON, CARLI (PLPC)
Entity type:Individual
Prefix:
First Name:CARLI
Middle Name:
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2325 RHONDA AVE
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-3787
Mailing Address - Country:US
Mailing Address - Phone:228-596-8851
Mailing Address - Fax:
Practice Address - Street 1:4011 BEATLINE RD
Practice Address - Street 2:STE 12
Practice Address - City:LONG BEACH
Practice Address - State:MS
Practice Address - Zip Code:39560-4138
Practice Address - Country:US
Practice Address - Phone:228-800-1445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSP-1124101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional