Provider Demographics
NPI:1184809774
Name:SIMPLICITY CARE, INC
Entity type:Organization
Organization Name:SIMPLICITY CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARKEETA
Authorized Official - Middle Name:S
Authorized Official - Last Name:STEVENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-394-7006
Mailing Address - Street 1:6701 SIMPSON RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216-5897
Mailing Address - Country:US
Mailing Address - Phone:704-394-7006
Mailing Address - Fax:704-394-7892
Practice Address - Street 1:6701 SIMPSON RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216-5897
Practice Address - Country:US
Practice Address - Phone:704-394-7006
Practice Address - Fax:704-394-7892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-02
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL0601029261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health