Provider Demographics
NPI:1770046096
Name:SMALL STEPS HEALING CENTER, LLC
Entity Type:Organization
Organization Name:SMALL STEPS HEALING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:970-314-6675
Mailing Address - Street 1:PO BOX 40534
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81504-0534
Mailing Address - Country:US
Mailing Address - Phone:970-314-6675
Mailing Address - Fax:
Practice Address - Street 1:1000 N 9TH ST STE 36
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-3153
Practice Address - Country:US
Practice Address - Phone:970-314-6675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-12
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty