Provider Demographics
NPI:1609574250
Name:STEPPING TOGETHER OUTREACH SERVICES LLC
Entity Type:Organization
Organization Name:STEPPING TOGETHER OUTREACH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LATASHA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-901-4430
Mailing Address - Street 1:5619 MELBECK CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23234-5280
Mailing Address - Country:US
Mailing Address - Phone:180-490-1443
Mailing Address - Fax:
Practice Address - Street 1:5619 MELBECK CIR
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23234-5280
Practice Address - Country:US
Practice Address - Phone:180-490-1443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA657607006OtherSTATE LICENSE NUMBER