Individual provider · Type 1 NPI

Keianna Simon, LMHC

Mental Health Counselor · Fort Lauderdale, FL

NPI number 1457042079 Active

Practice location

3800 W Broward Blvd Ste 100
Fort Lauderdale, FL 33312-1018

Mailing address

867 NE Whistling Duck Way
Port St. Lucie, FL 34983-3538

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH22196 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1457042079

Keianna Simon, LMHC's National Provider Identifier is 1457042079, issued on May 16, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Lauderdale, FL. The record was last updated on May 16, 2023.