Healthcare Provider Details

I. General information

NPI: 1699450213
Provider Name (Legal Business Name): FIRST STEP COUNSELING SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2023
Last Update Date: 06/20/2023
Certification Date: 06/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 NORTHSIDE DR NW STE A7
ATLANTA GA
30318-2695
US

IV. Provider business mailing address

1700 NORTHSIDE DR NW STE A7
ATLANTA GA
30318-2695
US

V. Phone/Fax

Practice location:
  • Phone: 470-938-5993
  • Fax:
Mailing address:
  • Phone: 470-938-5993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BORIS DAY
Title or Position: CEO
Credential: LPC
Phone: 470-938-5993