Provider Demographics
NPI:1598537037
Name:PSYCHSTEP
Entity Type:Organization
Organization Name:PSYCHSTEP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:IVIE
Authorized Official - Middle Name:EMMANUELLA
Authorized Official - Last Name:OSA
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:214-853-3536
Mailing Address - Street 1:8603 MARBLE TERRACE CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1203
Mailing Address - Country:US
Mailing Address - Phone:214-853-3536
Mailing Address - Fax:
Practice Address - Street 1:8603 MARBLE TERRACE CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-1203
Practice Address - Country:US
Practice Address - Phone:214-853-3536
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty