Organization Name: | MY NEXT STEP, PLLC |
NPI Number: | 1265808950 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIC WADE HAMMER (OWNER/ PRESIDENT) |
Mailing Address: | 2001 4th Ave Suite 6 Canyon |
State: | TX US |
Postal Code: | 790154048 |
Phone Number: | 8065428006 |
Fax Number: | 8064528007 |
NPI Enumeration Date: | 08/17/2015 |
NPI Last Update Date: | 08/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 12074 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |