Provider Demographics
NPI:1326490186
Name:NEXT STEP COMMUNITY SOLUTIONS
Entity Type:Organization
Organization Name:NEXT STEP COMMUNITY SOLUTIONS
Other - Org Name:NEXT STEP CSI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIPES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-939-9010
Mailing Address - Street 1:305 S BROADWAY AVE
Mailing Address - Street 2:SUITE 603
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75702-7307
Mailing Address - Country:US
Mailing Address - Phone:903-939-9010
Mailing Address - Fax:
Practice Address - Street 1:305 S BROADWAY AVE
Practice Address - Street 2:SUITE 603
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75702-7307
Practice Address - Country:US
Practice Address - Phone:903-939-9010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-05
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health