Individual provider · Type 1 NPI

Shontay Latrese Simmons, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Benton Harbor, MI

NPI number 1710842992 Active

Practice location

1485 M 139
Benton Harbor, MI 49022-5711

Mailing address

223 S 13th St
Saginaw, MI 48601-1837

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X4704308911 (MI)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1710842992

Shontay Latrese Simmons, PMHNP-BC's National Provider Identifier is 1710842992, issued on Dec 19, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Benton Harbor, MI. The record was last updated on Sep 8, 2026.