MEDICARE: STEP BY STEP CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1003110149
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEP BY STEP CARE, INC.

Provider Business Mailing Address
First Line	:	5 CENTERVIEW DR STE 105
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27407-3709
Country	:	US
Telephone Number	:	336-378-0109
Fax Number	:	336-378-0180

Provider Business Practice Location Address
First Line	:	5 CENTERVIEW DR STE 105
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27407-3709
Country	:	US
Telephone Number	:	336-378-0109
Fax Number	:	336-378-0180

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	DR. SHEILA CLARK STALLINGS
Credential	:	MD
Telephone Number	:	336-689-8901

Provider Enumeration Date	:	01/04/2011
Last Update Date	:	08/25/2023

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