La'brena Simmons, INDEPENDENT PROVIDER

NPI #1396388112 in Blacklick, Ohio

Provider Information

NPI Number: 1396388112
Entity Type: Individual
Name: La'brena Simmons, INDEPENDENT PROVIDER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: INDEPENDENT PROVIDER
Enumeration Date: Oct 24, 2019
Last Updated: Jun 17, 2025

Practice Location

Address: 2751 CHATWOOD LOOP
City: Blacklick
State: Ohio
ZIP Code: 43004-3414
Phone: (614) 625-9912

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Driver	172A00000X
Adult Companion	372600000X
Counselor	101Y00000X	Primary

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