Healthcare Provider Details

I. General information

NPI: 1801488317
Provider Name (Legal Business Name): NEXTSTEP COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2021
Last Update Date: 11/18/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1707 LINWOOD DR STE B
PARAGOULD AR
72450-5365
US

IV. Provider business mailing address

1707 LINWOOD DR STE B
PARAGOULD AR
72450-5365
US

V. Phone/Fax

Practice location:
  • Phone: 870-604-4455
  • Fax: 888-977-2956
Mailing address:
  • Phone: 870-604-4455
  • Fax: 888-977-2956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: HEATHER MCQUAY
Title or Position: DIRECTOR OF ACCOUNTS
Credential: MSHCM
Phone: 870-604-4455