Provider Demographics
NPI:1447446026
Name:SIMMERING, JEANIE FALLIN (BS)
Entity type:Individual
Prefix:MRS
First Name:JEANIE
Middle Name:FALLIN
Last Name:SIMMERING
Suffix:
Gender:F
Credentials:BS
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Mailing Address - Street 1:2129 RAINBOW DR
Mailing Address - Street 2:242 W SHRAMROCK AVE.
Mailing Address - City:PINEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71360-0000
Mailing Address - Country:US
Mailing Address - Phone:318-484-6850
Mailing Address - Fax:318-484-6844
Practice Address - Street 1:2129 RAINBOW DR
Practice Address - Street 2:242 W SHRAMROCK AVE.
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360-6449
Practice Address - Country:US
Practice Address - Phone:318-484-6850
Practice Address - Fax:318-484-6844
Is Sole Proprietor?:No
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health