National Provider Identifier
Kellie Marie Sims
Kellie Marie Sims is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Jamestown, NY and a listed phone number of (716) 661-8330.
Profile Overview
- NPI
- 1790984748
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- July 11, 2007
- Last Updated
- February 20, 2024
Practice Location
- 200 E 3Rd St
- Jamestown, NY 14701-5433
Phone: (716) 661-8330
Mailing Address
- 7 N Erie St
- Mayville, NY 14757-1090
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1790984748
- Entity Type
- Individual
- Last Name
- Sims
- First Name
- Kellie
- Middle Name
- Marie
- Mailing Street Address
- 7 N Erie St
- Mailing City
- Mayville
- Mailing State
- NY
- Mailing ZIP Code
- 14757-1090
- Mailing Country
- US
- Practice Street Address
- 200 E 3Rd St
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-5433
- Practice Country
- US
- Practice Phone
- (716) 661-8330
- Enumeration Date
- July 11, 2007
- Last Updated
- February 20, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- February 20, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)