Healthcare Provider Details

I. General information

NPI: 1699684050
Provider Name (Legal Business Name): STEP BY STEP HEALING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4013 SIMS AVE
SAINT ANN MO
63074-1927
US

IV. Provider business mailing address

4013 SIMS AVE
SAINT ANN MO
63074-1927
US

V. Phone/Fax

Practice location:
  • Phone: 314-201-2264
  • Fax:
Mailing address:
  • Phone: 314-201-2264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: TIERRA KINNARD
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 314-201-2264