Provider Demographics
NPI:1093195802
Name:NEXT STEP THERAPY, LLC
Entity Type:Organization
Organization Name:NEXT STEP THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:SMEALL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFTA
Authorized Official - Phone:253-564-4450
Mailing Address - Street 1:3318 BRIDGEPORT WAY W
Mailing Address - Street 2:SUITE D3
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98466-4598
Mailing Address - Country:US
Mailing Address - Phone:253-564-4450
Mailing Address - Fax:
Practice Address - Street 1:3318 BRIDGEPORT WAY W
Practice Address - Street 2:SUITE D3
Practice Address - City:UNIVERSITY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98466-4598
Practice Address - Country:US
Practice Address - Phone:253-564-4450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-06
Last Update Date:2015-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60535747251S00000X
WAMG60288353251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health