Provider Demographics
NPI:1558007906
Name:STEP BY STEP WELLNESS LLC
Entity Type:Organization
Organization Name:STEP BY STEP WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RENA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:770-363-3193
Mailing Address - Street 1:4825 ATLANTA HWY STE 1000
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-3946
Mailing Address - Country:US
Mailing Address - Phone:770-363-3193
Mailing Address - Fax:
Practice Address - Street 1:4825 ATLANTA HWY STE 1000
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-3946
Practice Address - Country:US
Practice Address - Phone:770-363-3193
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty