Provider Demographics
NPI:1790382588
Name:STEGER, SYDNEY CHARISSE
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:CHARISSE
Last Name:STEGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 WOODBROOK PL NE
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-2942
Mailing Address - Country:US
Mailing Address - Phone:888-701-1388
Mailing Address - Fax:
Practice Address - Street 1:8604 CLIFF CAMERON DR STE 180
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-8508
Practice Address - Country:US
Practice Address - Phone:888-701-1388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-05
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician