Organization Name: | STEPS OF CHANGE LLC |
NPI Number: | 1629482112 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLY J SENTY (OWNER) |
Mailing Address: | 1910 West Hwy 61 Grand Marais |
State: | MN US |
Postal Code: | 556040283 |
Phone Number: | 2183708773 |
Fax Number: | 2183872248 |
NPI Enumeration Date: | 06/12/2014 |
NPI Last Update Date: | 06/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 00785 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |