Provider Demographics
NPI:1598031809
Name:NEXT STEP COUNSEING AGENCY
Entity Type:Organization
Organization Name:NEXT STEP COUNSEING AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFONZO
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMILLIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-424-0007
Mailing Address - Street 1:840 N.W. 115ST.
Mailing Address - Street 2:840 N.W. 115ST.
Mailing Address - City:OKLAHOMA
Mailing Address - State:OK
Mailing Address - Zip Code:73114-6900
Mailing Address - Country:US
Mailing Address - Phone:405-751-8701
Mailing Address - Fax:
Practice Address - Street 1:840 NW 115TH ST
Practice Address - Street 2:840 N.W. 115ST.
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-6900
Practice Address - Country:US
Practice Address - Phone:405-751-8701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health