Provider Demographics
NPI:1992554133
Name:ONE STEP AT A TIME LLC
Entity type:Organization
Organization Name:ONE STEP AT A TIME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WASHINGTON BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:LPCA
Authorized Official - Phone:843-301-3470
Mailing Address - Street 1:PO BOX 1456
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:SC
Mailing Address - Zip Code:29827-1456
Mailing Address - Country:US
Mailing Address - Phone:843-301-3470
Mailing Address - Fax:
Practice Address - Street 1:168 14 ST W
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:SC
Practice Address - Zip Code:29827
Practice Address - Country:US
Practice Address - Phone:843-301-3470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty