Provider Demographics
NPI:1003096942
Name:HEALTHY STEPS, LLC
Entity Type:Organization
Organization Name:HEALTHY STEPS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-616-2108
Mailing Address - Street 1:6 BRIDAL PATH CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-9316
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:803-865-1792
Practice Address - Street 1:6 BRIDAL PATH CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-9316
Practice Address - Country:US
Practice Address - Phone:864-616-2108
Practice Address - Fax:803-865-1792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-08
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2015-30991-30138251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC30991OtherRICHLANDCNTYBUSINESSNUMB
SC20194846OtherEIN