Most Relevant Information
Provider Data
| NPI Number: | 1003562695 |
| Provider Name: | MICHELLE REYNOLDS SIMMONS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 79752 |
Most Important Dates
| Enumeration Date: | 02/23/2022 |
| Last Updated: | 03/02/2022 |
Provider Practice Location
1014 FERRIS AVE STE 1045
WAXAHACHIE
TX
751652590
Practice Location Phone/Fax
| Phone: | 8179332772 |
| Fax: |
Provider Mailing Location
PO BOX 575
GRANDVIEW
TX
760500575
Provider Mailing Phone/Fax
| Phone: | 8179332772 |
| Fax: |