Provider Demographics
NPI:1073106902
Name:STEP BY STEP THERAPEUTIC AND PERINATAL MENTAL HEALTH SERVICES
Entity Type:Organization
Organization Name:STEP BY STEP THERAPEUTIC AND PERINATAL MENTAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:470-377-2286
Mailing Address - Street 1:1720 MARS HILL RD NW STE 8-154
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-7127
Mailing Address - Country:US
Mailing Address - Phone:470-377-2286
Mailing Address - Fax:
Practice Address - Street 1:1720 MARS HILL RD NW STE 8-154
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-7127
Practice Address - Country:US
Practice Address - Phone:470-377-2286
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-11
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty