Provider Demographics
NPI:1487184511
Name:STEP-BY-STEP BEHAVIORAL HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:STEP-BY-STEP BEHAVIORAL HEALTH SERVICES, LLC
Other - Org Name:STEP-BY-STEP BEHAVIORAL HEALTH SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DESIREE
Authorized Official - Middle Name:CORLEY
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:904-408-9288
Mailing Address - Street 1:PO BOX 140435
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32614-0435
Mailing Address - Country:US
Mailing Address - Phone:904-408-9288
Mailing Address - Fax:888-376-7135
Practice Address - Street 1:901 NW 8TH AVE STE B3-1
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-5011
Practice Address - Country:US
Practice Address - Phone:888-763-7837
Practice Address - Fax:888-376-7135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-12
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X, 251C00000X
FL8698251S00000X
FLMH8698261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)