National Provider Identifier
Alysha Tiana Jackson Simmonds
Alysha Tiana Jackson Simmonds is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 831-1800.
Profile Overview
- NPI
- 1649001132
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- August 08, 2024
- Last Updated
- August 08, 2024
Practice Location
- 3020 Bailey Ave
- Buffalo, NY 14215-2814
Phone: (716) 831-1800
Mailing Address
- 55 Dodge RD
- Getzville, NY 14068-1205
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1649001132
- Entity Type
- Individual
- Last Name
- Jackson Simmonds
- First Name
- Alysha
- Middle Name
- Tiana
- Mailing Street Address
- 55 Dodge RD
- Mailing City
- Getzville
- Mailing State
- NY
- Mailing ZIP Code
- 14068-1205
- Mailing Country
- US
- Mailing Phone
- (716) 831-2700
- Practice Street Address
- 3020 Bailey Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-2814
- Practice Country
- US
- Practice Phone
- (716) 831-1800
- Enumeration Date
- August 08, 2024
- Last Updated
- August 08, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 08, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)