Provider Demographics
NPI:1073284030
Name:A STEP FORWARD COUNSELING AND MENTORING SERVICES, PLLC
Entity Type:Organization
Organization Name:A STEP FORWARD COUNSELING AND MENTORING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MACHAELA
Authorized Official - Middle Name:CHERIE
Authorized Official - Last Name:HARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:214-208-5020
Mailing Address - Street 1:11700 LEBANON RD APT 1421
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-8281
Mailing Address - Country:US
Mailing Address - Phone:214-208-5020
Mailing Address - Fax:
Practice Address - Street 1:11700 LEBANON RD APT 1421
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-8281
Practice Address - Country:US
Practice Address - Phone:214-208-5020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty