Healthcare Provider Details

I. General information

NPI: 1942090543
Provider Name (Legal Business Name): NEXTSTEP PEERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2025
Last Update Date: 09/11/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1351 PAGE DR S STE 215
FARGO ND
58103-3536
US

IV. Provider business mailing address

1351 PAGE DR S STE 215
FARGO ND
58103-3536
US

V. Phone/Fax

Practice location:
  • Phone: 215-207-6337
  • Fax:
Mailing address:
  • Phone: 215-207-6337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
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: ABDIAZIZ ADEN
Title or Position: MANAGER
Credential:
Phone: 215-207-6337