Healthcare Provider Details

I. General information

NPI: 1184542003
Provider Name (Legal Business Name): NEXT STEP COUNSELING & SUPERVISION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10931 E INDEPENDENCE BLVD # D25
MATTHEWS NC
28105-5056
US

IV. Provider business mailing address

1222 AUSTIN CHANEY RD
WINGATE NC
28174-9764
US

V. Phone/Fax

Practice location:
  • Phone: 980-290-5503
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: BRITNI ANGELA EATON
Title or Position: OWNER
Credential: LCMHCS, LCAS, CSI
Phone: 980-290-5503