Provider Demographics
NPI:1518436484
Name:STEPS FORWARD, L.L.C.
Entity Type:Organization
Organization Name:STEPS FORWARD, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:CHIVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-481-1669
Mailing Address - Street 1:4555 KAREN AVE APT 84
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-7699
Mailing Address - Country:US
Mailing Address - Phone:602-481-1669
Mailing Address - Fax:
Practice Address - Street 1:4555 KAREN AVE APT 84
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-7699
Practice Address - Country:US
Practice Address - Phone:602-481-1669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-20
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health