Provider Demographics
NPI:1821787581
Name:NEXT STEP 360 RECOVERY CARE CENTER LLC
Entity Type:Organization
Organization Name:NEXT STEP 360 RECOVERY CARE CENTER LLC
Other - Org Name:NEXT STEP 360
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TUYHIEP
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-656-2429
Mailing Address - Street 1:3124 WHITE BLOSSOM CIRCLE
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150
Mailing Address - Country:US
Mailing Address - Phone:502-656-2429
Mailing Address - Fax:
Practice Address - Street 1:3202 RUDD AVE STE 1
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40212-1147
Practice Address - Country:US
Practice Address - Phone:502-501-3788
Practice Address - Fax:502-999-9910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-08
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty