Provider Demographics
NPI:1649558222
Name:FIRST STEP RECOVERY
Entity Type:Organization
Organization Name:FIRST STEP RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWERY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:210-310-5550
Mailing Address - Street 1:104 IVY LN
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-3763
Mailing Address - Country:US
Mailing Address - Phone:210-310-5550
Mailing Address - Fax:
Practice Address - Street 1:321 THOMPSON DR
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-5805
Practice Address - Country:US
Practice Address - Phone:210-310-5550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-29
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX512861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty