Healthcare Provider Details

I. General information

NPI: 1891582094
Provider Name (Legal Business Name): NEXT STEP HOUSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2025
Last Update Date: 06/29/2025
Certification Date: 06/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4724 MAPLE KNOLL AVE
CHARLOTTE NC
28212-4735
US

IV. Provider business mailing address

113 RIVERIA RD
MOORESVILLE NC
28117-8974
US

V. Phone/Fax

Practice location:
  • Phone: 704-402-9176
  • Fax:
Mailing address:
  • Phone: 704-402-9176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: EVELYN DILLARD
Title or Position: OWNER
Credential: CADC
Phone: 704-402-9176