MEDICARE: STEPS TOWARD SUCCESS,PLLC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	458	NC
2	101YP2500X	Professional Counselor
3	101YP2500X	Professional Counselor	7690	NC

General Provider Information

NPI Number	:	1629398409
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEPS TOWARD SUCCESS,PLLC

Provider Business Mailing Address
First Line	:	PO BOX 79009
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27417-9009
Country	:	US
Telephone Number	:	704-349-3789
Fax Number	:

Provider Business Practice Location Address
First Line	:	1451 S ELM EUGENE ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27406-2200
Country	:	US
Telephone Number	:	704-349-3789
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	WANDA BROWN-RAMSEUR
Credential	:
Telephone Number	:	704-349-3789

Provider Enumeration Date	:	06/03/2010
Last Update Date	:	01/18/2019

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