Organization
SIMPLY STIERS LLC
Active
Organization
SIMPLY STIERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA M MARTINEZ (OWNER)
(480) 909-8490
Entity
Organization
Contact information
Practice address
275 N SAGUARO DR LOT F4, APACHE JUNCTION, AZ 85120-3705
(480) 909-8490
Mailing address
275 N SAGUARO DR LOT F4, 275 N SAGUARO DR. LOT F4, APACHE JUNCTION, AZ 85120
(480) 909-8490
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063103182
INDIVIDUAL
AZ
01
—
1245964329
INDIVIDUAL
AZ
Enumeration date
05/18/2023
Last updated
05/18/2023
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