Provider Demographics
NPI:1881840163
Name:NEXTSTEP FAMILY COUNSELING
Entity type:Organization
Organization Name:NEXTSTEP FAMILY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:AVA
Authorized Official - Middle Name:
Authorized Official - Last Name:LILLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-632-0371
Mailing Address - Street 1:9611 BROOKDALE DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-8719
Mailing Address - Country:US
Mailing Address - Phone:704-632-0371
Mailing Address - Fax:704-632-0373
Practice Address - Street 1:1509 LYON CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-5320
Practice Address - Country:US
Practice Address - Phone:704-632-0371
Practice Address - Fax:704-632-0373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health