Individual provider · Type 1 NPI

Latonia Yvette Simmons-Mack

Mental Health Counselor · Columbia, SC

NPI number 1265169817 Active

Practice location

2715 Colonial Dr
Columbia, SC 29203-6818

Mailing address

2144 Rolling Hills Rd
Columbia, SC 29210-6136

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1265169817

Latonia Yvette Simmons-Mack's National Provider Identifier is 1265169817, issued on Aug 3, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Columbia, SC. The record was last updated on Aug 3, 2022.