Provider Demographics
NPI:1790094803
Name:FIRST STEP SERVICES, LLC
Entity Type:Organization
Organization Name:FIRST STEP SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:ELISABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:PESCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-605-4986
Mailing Address - Street 1:211 E SIX FORKS RD.
Mailing Address - Street 2:SUITE 116, 117, 215, 216, & 217
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7745
Mailing Address - Country:US
Mailing Address - Phone:919-833-8899
Mailing Address - Fax:919-833-4485
Practice Address - Street 1:211 E SIX FORKS RD.
Practice Address - Street 2:SUITE 116, 117, 215, 216, & 217
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7745
Practice Address - Country:US
Practice Address - Phone:919-833-8899
Practice Address - Fax:919-833-4485
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIRST STEP SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-07
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL 092 - 495101YA0400X
NCMHL 092-572101YA0400X
NCMHL 032-384101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty