Healthcare Provider Details

I. General information

NPI: 1164373395
Provider Name (Legal Business Name): LEARNING STEPS DIAGNOSTICS AND EDUCATIONAL CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1860 SW FOUNTAINVIEW BLVD STE 100
PORT ST LUCIE FL
34986-4528
US

IV. Provider business mailing address

1860 SW FOUNTAINVIEW BLVD STE 100
PORT ST LUCIE FL
34986-4528
US

V. Phone/Fax

Practice location:
  • Phone: 772-233-3236
  • Fax: 772-879-5455
Mailing address:
  • Phone: 772-233-3236
  • Fax: 772-879-5455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: MS. ISIS ORUE
Title or Position: OWNER
Credential: ED. S, LSP, NCSP
Phone: 772-233-3236