Individual ProviderDavid Eugene SimmonsSocial WorkerBehavioral Health & Social Service ProvidersPractice Address22511 Telegraph Rd, Suite 101, Southfield, MI 48033-4115(248) 356-0540PECOS EnrollmentBased on the most recent information from CMS, provider David Eugene Simmons does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:21 AM.Profile DetailsProvider ID1376711465Provider TypeIndividualFull NameSimmons, David EugeneCredentialLMSWGenderMaleSole ProprietorNoEnumeration Date2/12/2008Last Updated4/2/2008Contact InformationPractice LocationPractice Address22511 Telegraph Rd, Suite 101, Southfield, MI 48033-4115Phone(248) 356-0540Fax(248) 356-0539Mailing LocationMailing AddressPO Box 250693, West Bloomfield, MI 48325-0693Phone(248) 356-0540Fax(248) 356-0539Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense6801012168Michigan