| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JOLISA R SIMS | 1255998209 | 2024-11-09 |
Jolisa R Sims is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1255998209. Registration indicates Jolisa R Sims is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to Substance Use Disorder Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Addiction (Substance Use Disorder),, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Addiction Substance Use Disorder, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Jolisa R Sims |
| Practice Office Address | 467 SANDERSON AVE CAMPBELL, OH US |
| Practice Office Telephone | 3304067171 |
| Mailing Address | 467 SANDERSON AVE CAMPBELL, OH 444051464 US |
| Business Telephone | 3304067171 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 101YA0400X | Access to Substance Use Disorder Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Addiction (Substance Use Disorder), Behavioral Health/Substance Abuse/Psychiatry Counselor Addiction Substance Use Disorder Behavioral Health & Social Service Providers Counselor | CDCA.164953
OH |