Provider Demographics
NPI:1740166297
Name:SIMPLY WELLNESS GROUP
Entity type:Organization
Organization Name:SIMPLY WELLNESS GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORENA
Authorized Official - Middle Name:
Authorized Official - Last Name:DE LA TORRE VILLEGAS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:510-755-5750
Mailing Address - Street 1:7811 LAGUNA BLVD
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-7941
Mailing Address - Country:US
Mailing Address - Phone:510-755-5750
Mailing Address - Fax:
Practice Address - Street 1:7811 LAGUNA BLVD
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-7941
Practice Address - Country:US
Practice Address - Phone:510-755-5750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty