Individual provider · Type 1 NPI
Laconstance M. Simmons, APRN PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Highland Park, MI
NPI number
1174077192
Active
Practice location
12501 Hamilton Ave
Highland Park, MI 48203-3243
Mailing address
5282 Bishop St
Detroit, MI 48224-2145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4704355404 (MI) |
| Licensed Practical Nurse | 164W00000X | 4703116307 (MI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1174077192
Laconstance M. Simmons, APRN PMHNP-BC's National Provider Identifier is 1174077192, issued on Aug 8, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Highland Park, MI. The record was last updated on Sep 30, 2025.