Provider Demographics
NPI:1356672224
Name:STEP BY STEP 'TAKING STEPS TOWARD HEALTHIER LIVING' INC
Entity Type:Organization
Organization Name:STEP BY STEP 'TAKING STEPS TOWARD HEALTHIER LIVING' INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:GREEN
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-531-6195
Mailing Address - Street 1:1716 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-1602
Mailing Address - Country:US
Mailing Address - Phone:252-531-6195
Mailing Address - Fax:252-822-0054
Practice Address - Street 1:1716 W 5TH ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-1602
Practice Address - Country:US
Practice Address - Phone:252-531-6195
Practice Address - Fax:252-822-0054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-16
Last Update Date:2010-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC101YP2500XMedicaid
NC103T00000XMedicaid
NC164W00000XMedicaid
NC103TH0004XMedicaid
NC103TMI800XMedicaid
NC163WC1600XMedicaid
NC2080P0208XMedicaid
NC101YM0800XMedicaid
NC103TA0400XMedicaid
NC111NN100IXMedicaid
NC302F00000XMedicaid
NC163W10600XMedicaid
NC176P00000XMedicaid
NC101Y00000XMedicaid
NC103TC1900XMedicaid
NC163WC1500XMedicaid
NC3747P1801XMedicaid
NC101YP1600XMedicaid
NC163WC0400XMedicaid
NC163WH0200XMedicaid
NC163WP0809XMedicaid
NC163WP0907XMedicaid
NC163WA2000XMedicaid
NC171M00000XMedicaid
NC172A00000XMedicaid
NC174H00000XMedicaid