Provider Demographics
NPI:1720867757
Name:ONE STEP AT A TIME DAY SUPPORT LLC
Entity Type:Organization
Organization Name:ONE STEP AT A TIME DAY SUPPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:HINTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-672-8704
Mailing Address - Street 1:3607 WHITECHAPEL ARCH
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-4024
Mailing Address - Country:US
Mailing Address - Phone:757-672-8704
Mailing Address - Fax:
Practice Address - Street 1:3134 TYRE NECK RD STE B
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23703-4512
Practice Address - Country:US
Practice Address - Phone:757-672-8704
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health