Provider Demographics
NPI:1396051850
Name:LIFE STEPS COUNSELING AND COACHING
Entity type:Organization
Organization Name:LIFE STEPS COUNSELING AND COACHING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRIVATE CLINICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:MERLA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HUNTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:662-510-7093
Mailing Address - Street 1:42156 10TH ST W
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-7062
Mailing Address - Country:US
Mailing Address - Phone:661-510-7093
Mailing Address - Fax:661-794-2606
Practice Address - Street 1:42156 10TH ST W
Practice Address - Street 2:SUITE 201
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-7062
Practice Address - Country:US
Practice Address - Phone:661-510-7093
Practice Address - Fax:661-794-2606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-23
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS152091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty