Provider Demographics
NPI:1558557678
Name:STEP AHEAD COUNSELING SERVICES EAP, INC.
Entity Type:Organization
Organization Name:STEP AHEAD COUNSELING SERVICES EAP, INC.
Other - Org Name:N/A
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:KEEFE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:219-844-5362
Mailing Address - Street 1:7330 INDIANAPOLIS BLVD
Mailing Address - Street 2:SUITE TWO
Mailing Address - City:HAMMOND
Mailing Address - State:IN
Mailing Address - Zip Code:46324-2941
Mailing Address - Country:US
Mailing Address - Phone:219-844-5362
Mailing Address - Fax:219-844-5361
Practice Address - Street 1:7330 INDIANAPOLIS BLVD
Practice Address - Street 2:SUITE TWO
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46324-2941
Practice Address - Country:US
Practice Address - Phone:219-844-5362
Practice Address - Fax:219-844-5361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39001307A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty