Provider Demographics
NPI:1104184035
Name:ONE STEP AHEAD PROGRAM
Entity Type:Organization
Organization Name:ONE STEP AHEAD PROGRAM
Other - Org Name:ONE STEP AHEAD PROGRAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-216-2018
Mailing Address - Street 1:3735 POPLAR SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-6722
Mailing Address - Country:US
Mailing Address - Phone:516-216-2018
Mailing Address - Fax:
Practice Address - Street 1:3735 POPLAR SPRINGS DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-6722
Practice Address - Country:US
Practice Address - Phone:516-216-2018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-28
Last Update Date:2012-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty