Provider Demographics
NPI:1194039370
Name:FRESH STEPS EAP, INC.
Entity Type:Organization
Organization Name:FRESH STEPS EAP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARCIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:406-558-4743
Mailing Address - Street 1:6515 GREEN MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-8115
Mailing Address - Country:US
Mailing Address - Phone:406-558-4743
Mailing Address - Fax:406-204-4518
Practice Address - Street 1:6515 GREEN MEADOW DR
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602-8115
Practice Address - Country:US
Practice Address - Phone:406-558-4743
Practice Address - Fax:406-204-4518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-30
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1444101YP2500X
MT9071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty