Provider Demographics
NPI:1770788135
Name:ANGEL STEPS
Entity type:Organization
Organization Name:ANGEL STEPS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHYBERG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, PIP
Authorized Official - Phone:706-761-8463
Mailing Address - Street 1:PO BOX 12732
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80902-2732
Mailing Address - Country:US
Mailing Address - Phone:706-761-8463
Mailing Address - Fax:
Practice Address - Street 1:4136 HARVEST MOON TER
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80925-1112
Practice Address - Country:US
Practice Address - Phone:706-761-8463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-17
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLCSW, PIP251S00000X
GA003844251S00000X
CO1262251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health