Organization Name: | FIRST STEP COUNSELING, INC |
NPI Number: | 1578801007 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELISSA MCHENRY (DIRECTOR) |
Mailing Address: | 114 Whitelaw Ave Wood River |
State: | IL US |
Postal Code: | 620951911 |
Phone Number: | 6182514225 |
Fax Number: | 6182514586 |
NPI Enumeration Date: | 01/17/2013 |
NPI Last Update Date: | 01/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |