Provider Demographics
NPI:1386187581
Name:ONE STEP FORWARD WELLNESS CENTER
Entity Type:Organization
Organization Name:ONE STEP FORWARD WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PITTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-731-0003
Mailing Address - Street 1:9901 BUSINESS PKWY
Mailing Address - Street 2:SUITE L
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-1840
Mailing Address - Country:US
Mailing Address - Phone:301-731-0003
Mailing Address - Fax:
Practice Address - Street 1:9901 BUSINESS PKWY
Practice Address - Street 2:SUITE L
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-1840
Practice Address - Country:US
Practice Address - Phone:301-731-0003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-21
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty