Healthcare Provider Details

I. General information

NPI: 1538029632
Provider Name (Legal Business Name): FIRST STEP THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2025
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 N GILBERT RD STE 107-605
GILBERT AZ
85234-2318
US

IV. Provider business mailing address

1515 N GILBERT RD STE 107-605
GILBERT AZ
85234-2318
US

V. Phone/Fax

Practice location:
  • Phone: 480-741-8686
  • Fax:
Mailing address:
  • Phone: 480-741-8686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: LAURA CARRILLO
Title or Position: PSYCHOTHERAPIST
Credential: LPC
Phone: 480-741-8686