Provider Demographics
NPI:1508372244
Name:FIRST STEP
Entity Type:Organization
Organization Name:FIRST STEP
Other - Org Name:FIRST STEP DUI & COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LATOSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRESCOTT-CARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-853-1352
Mailing Address - Street 1:115 CLEAR SPRING LN
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30054-4628
Mailing Address - Country:US
Mailing Address - Phone:770-853-1352
Mailing Address - Fax:
Practice Address - Street 1:1775 PARKER RD SE BLDG C
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30094-6654
Practice Address - Country:US
Practice Address - Phone:770-728-1888
Practice Address - Fax:770-728-1888
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LABRON'S SALON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-18
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children