Provider Demographics
NPI:1427599471
Name:SOARINGSTEPS
Entity Type:Organization
Organization Name:SOARINGSTEPS
Other - Org Name:NONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:ALESHA
Authorized Official - Middle Name:D
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LLBSW
Authorized Official - Phone:313-784-1205
Mailing Address - Street 1:29482 OAKHILL CT
Mailing Address - Street 2:
Mailing Address - City:GIBRALTAR
Mailing Address - State:MI
Mailing Address - Zip Code:48173-1271
Mailing Address - Country:US
Mailing Address - Phone:313-784-1205
Mailing Address - Fax:
Practice Address - Street 1:29482 OAKHILL CT
Practice Address - Street 2:
Practice Address - City:GIBRALTAR
Practice Address - State:MI
Practice Address - Zip Code:48173-1271
Practice Address - Country:US
Practice Address - Phone:313-784-1205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-10
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6802088487302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1710331988Medicaid