Provider Demographics
NPI:1003529058
Name:ONE STEP AT A TIME THERAPY LLC
Entity Type:Organization
Organization Name:ONE STEP AT A TIME THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOCET
Authorized Official - Suffix:
Authorized Official - Credentials:LBS, LPC, CTP
Authorized Official - Phone:814-753-1071
Mailing Address - Street 1:119 S BURROWES ST STE 706
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-3864
Mailing Address - Country:US
Mailing Address - Phone:814-753-1071
Mailing Address - Fax:877-775-2413
Practice Address - Street 1:119 S BURROWES ST STE 706
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-3864
Practice Address - Country:US
Practice Address - Phone:814-753-1071
Practice Address - Fax:877-775-2413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty