Healthcare Provider Details

I. General information

NPI: 1174450142
Provider Name (Legal Business Name): STEP BY STEP HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7201 I 30 STE 2
LITTLE ROCK AR
72209-3164
US

IV. Provider business mailing address

7201 I 30 STE 2
LITTLE ROCK AR
72209-3164
US

V. Phone/Fax

Practice location:
  • Phone: 501-541-8311
  • Fax: 501-762-8068
Mailing address:
  • Phone: 501-541-8311
  • Fax: 501-762-8068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. PHYLLIS LAVERN GREEN
Title or Position: OWNER/NURSE
Credential: RN
Phone: 501-541-8311