Provider Demographics
NPI:1750776282
Name:SIMPLY BETTER,LLC
Entity type:Organization
Organization Name:SIMPLY BETTER,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:JOY-MARIE
Authorized Official - Last Name:WITHERSPOON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-481-4217
Mailing Address - Street 1:5070 ROUTE 42
Mailing Address - Street 2:TOP FLOOR
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-1733
Mailing Address - Country:US
Mailing Address - Phone:856-536-7884
Mailing Address - Fax:856-481-4764
Practice Address - Street 1:5070 ROUTE 42
Practice Address - Street 2:TOP FLOOR
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-1733
Practice Address - Country:US
Practice Address - Phone:856-536-7884
Practice Address - Fax:856-481-4764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-01
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC008641001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ460734Medicare PIN