Healthcare Provider Details

I. General information

NPI: 1942932025
Provider Name (Legal Business Name): STEP AHEAD COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2022
Last Update Date: 07/19/2022
Certification Date: 07/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30011 IVY GLENN DR STE 105B
LAGUNA NIGUEL CA
92677-5015
US

IV. Provider business mailing address

24847 NUEVA VISTA DR
LAGUNA NIGUEL CA
92677-7460
US

V. Phone/Fax

Practice location:
  • Phone: 619-455-9505
  • Fax:
Mailing address:
  • Phone: 619-455-9505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MEGAN ANN DEJEAN
Title or Position: CEO
Credential: LCSW
Phone: 619-455-9505