Healthcare Provider Details

I. General information

NPI: 1255136594
Provider Name (Legal Business Name): VAST STEPS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2025
Last Update Date: 02/19/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 VALLEY RIVER AVE. STE A3 BUILDING 409
MURPHY NC
28906-2988
US

IV. Provider business mailing address

PO BOX 797
MURPHY NC
28906-0797
US

V. Phone/Fax

Practice location:
  • Phone: 828-360-3900
  • Fax:
Mailing address:
  • Phone: 828-360-3900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: SHIRLEY PUETT
Title or Position: OWER
Credential: LCSW
Phone: 828-360-3900