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General NPI Number Information
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NPI Number | 1740166297
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Entity Type | Organization
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Legal Business Name | SIMPLY WELLNESS A FAMILY THERAPY GROUP PRACTICE
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 7811 LAGUNA BLVD
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City | ELK GROVE
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State | CA
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Zip | 95758-7941
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Country | US
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Telephone | 510-755-5750
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Fax |
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Provider Business Mailing Address
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Address Line | 7811 LAGUNA BLVD
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City | ELK GROVE
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State | CA
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Zip | 95758-7941
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Country | US
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Telephone | 510-755-5750
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LORENA DE LA TORRE VILLEGAS
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Credential | LMFT
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Telephone | 510-755-5750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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