Provider Demographics
NPI:1235311515
Name:ASTEP ABOVE THE REST MENTAL HEALTH SERVICES
Entity Type:Organization
Organization Name:ASTEP ABOVE THE REST MENTAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PROGRAM DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:LIMKO
Authorized Official - Last Name:BANKS
Authorized Official - Suffix:
Authorized Official - Credentials:QMHP
Authorized Official - Phone:828-851-9588
Mailing Address - Street 1:PO BOX 313
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:NC
Mailing Address - Zip Code:28034-0313
Mailing Address - Country:US
Mailing Address - Phone:828-851-9588
Mailing Address - Fax:
Practice Address - Street 1:1562 UNION RD
Practice Address - Street 2:SUITE B
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-2210
Practice Address - Country:US
Practice Address - Phone:828-851-9588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC302530251B00000X, 251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251B00000XAgenciesCase Management