Provider Demographics
NPI:1255406237
Name:HEART STEPS COUNSELING SERVICES INC
Entity type:Organization
Organization Name:HEART STEPS COUNSELING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:NOLE
Authorized Official - Last Name:MUSGROVE
Authorized Official - Suffix:
Authorized Official - Credentials:BS CADCI
Authorized Official - Phone:541-963-4005
Mailing Address - Street 1:105 FIR STREET
Mailing Address - Street 2:SUITE 321
Mailing Address - City:LA GRANDE
Mailing Address - State:OR
Mailing Address - Zip Code:97850-2663
Mailing Address - Country:US
Mailing Address - Phone:541-963-4005
Mailing Address - Fax:541-663-8144
Practice Address - Street 1:105 FIR STREET
Practice Address - Street 2:SUITE 321
Practice Address - City:LA GRANDE
Practice Address - State:OR
Practice Address - Zip Code:97850-2663
Practice Address - Country:US
Practice Address - Phone:541-963-4005
Practice Address - Fax:541-663-8144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR101Y00000X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR213617OtherSTATE INSURANCE