Provider Demographics
NPI:1346887411
Name:STEPS WITH HORSES
Entity Type:Organization
Organization Name:STEPS WITH HORSES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HALLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEADE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC-S, RPT-S
Authorized Official - Phone:682-703-0794
Mailing Address - Street 1:PO BOX 123737
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76121-3737
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16151 HIGHWAY 377 S
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76126-5544
Practice Address - Country:US
Practice Address - Phone:682-703-0794
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-07
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)