Provider Demographics
NPI:1508031741
Name:RESOLUTIONS STEP BY STEP LLC
Entity Type:Organization
Organization Name:RESOLUTIONS STEP BY STEP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLO MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:DELUCA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:678-478-5774
Mailing Address - Street 1:4313 HIGHBORNE DRIVE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066
Mailing Address - Country:US
Mailing Address - Phone:678-478-5774
Mailing Address - Fax:
Practice Address - Street 1:242 CREEKSTONE RIDGE
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188
Practice Address - Country:US
Practice Address - Phone:678-478-5774
Practice Address - Fax:678-445-5146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW001577104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty