Individual provider · Type 1 NPI

Vivica Simmons

Mental Health Counselor · Fairfax, VA

NPI number 1326737065 Active

Practice location

10721 Main St Ste 2400
Fairfax, VA 22030-6902

Fax (703) 459-9620

Mailing address

10721 Main St
Fairfax, VA 22030-6914

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0704018901 (VA)

Mental Health Counselor: Definition to come...

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About NPI 1326737065

Vivica Simmons's National Provider Identifier is 1326737065, issued on May 8, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairfax, VA. The record was last updated on Jun 5, 2026.