| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SIMONE NICHOLE PERRY | 1518604255 | 2022-05-15 |
Simone Nichole Perry is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1518604255. Registration indicates Simone Nichole Perry is a provider of services with a specialization in Behavioral Health & Social Service Providers, Poetry Therapist (Poetry Therapist, ) (Poetry Therapist, Behavioral Health & Social Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Simone Nichole Perry EDM |
| Practice Office Address | 6714 41ST AVE WOODSIDE, NY US |
| Practice Office Telephone | 7186517770 |
| Mailing Address | 10532 FLATLANDS 1ST ST FL 1 BROOKLYN, NY 112363008 US |
| Business Telephone | 7327371615 |
| Code | Practice | License No State |
|---|---|---|
| 102X00000X | Behavioral Health & Social Service Providers Poetry Therapist Poetry Therapist Poetry Therapist Behavioral Health & Social Service Providers | |
| 101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | |
| 193200000X MULT | Group Code |