Provider Demographics
NPI:1659064186
Name:LITTLE STEPS A.B.A. LLC
Entity Type:Organization
Organization Name:LITTLE STEPS A.B.A. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ REGISTERED AGENT
Authorized Official - Prefix:
Authorized Official - First Name:CORY
Authorized Official - Middle Name:
Authorized Official - Last Name:OLDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-905-8055
Mailing Address - Street 1:PO BOX 86
Mailing Address - Street 2:
Mailing Address - City:EUFAULA
Mailing Address - State:AL
Mailing Address - Zip Code:36072-0086
Mailing Address - Country:US
Mailing Address - Phone:706-905-8055
Mailing Address - Fax:
Practice Address - Street 1:1560 S EUFAULA AVE STE 9
Practice Address - Street 2:
Practice Address - City:EUFAULA
Practice Address - State:AL
Practice Address - Zip Code:36027-3291
Practice Address - Country:US
Practice Address - Phone:706-905-8055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health