Organization
THE SIMPLE LIFE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERRILL CORELLY STEWART BS BUSINESS ADMINIST (HUMAN RESOURCE DIRECTOR)
(704) 868-8328
Entity
Organization
Contact information
Practice address
520 UNION RD, GASTONIA, NC 28054-4450
(704) 868-8328
(704) 868-8332
Mailing address
PO BOX 1195, GASTONIA, NC 28053-1195
(704) 868-8328
(704) 868-8332
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300821B
—
NC
Enumeration date
01/25/2008
Last updated
10/16/2009
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