Provider Demographics
NPI:1609909076
Name:FIRST STEP SERVICES, LLC
Entity Type:Organization
Organization Name:FIRST STEP SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:W.
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:TARKINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW, LCAS, CCS
Authorized Official - Phone:919-833-8899
Mailing Address - Street 1:136 HIGHWAY 70 E
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529
Mailing Address - Country:US
Mailing Address - Phone:919-329-9400
Mailing Address - Fax:919-329-9487
Practice Address - Street 1:136 HIGHWAY 70 EAST
Practice Address - Street 2:SUITE 201
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529
Practice Address - Country:US
Practice Address - Phone:919-329-9400
Practice Address - Fax:919-329-9487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-092-572101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty