Provider Demographics
NPI:1558635094
Name:SHARED-STEPS COUNSELING & CONSULTATION SERVICES PC
Entity Type:Organization
Organization Name:SHARED-STEPS COUNSELING & CONSULTATION SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHAEFER-SPACE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LLP
Authorized Official - Phone:616-262-5982
Mailing Address - Street 1:7040 ROLLING OAKS LN
Mailing Address - Street 2:
Mailing Address - City:MIDDLEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49333-8409
Mailing Address - Country:US
Mailing Address - Phone:616-262-5982
Mailing Address - Fax:
Practice Address - Street 1:402 THORNTON ST
Practice Address - Street 2:
Practice Address - City:MIDDLEVILLE
Practice Address - State:MI
Practice Address - Zip Code:49333-9706
Practice Address - Country:US
Practice Address - Phone:269-795-2243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301007868103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty