Provider Demographics
NPI:1578145058
Name:STEP ONE, LLC
Entity Type:Organization
Organization Name:STEP ONE, LLC
Other - Org Name:STEP ONE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TIERRE
Authorized Official - Middle Name:JEROME
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:443-793-5445
Mailing Address - Street 1:3228 NORTHWAY DR
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-7827
Mailing Address - Country:US
Mailing Address - Phone:443-793-5445
Mailing Address - Fax:
Practice Address - Street 1:3228 NORTHWAY DR
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-7827
Practice Address - Country:US
Practice Address - Phone:443-793-5445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-25
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health