Healthcare Provider Details
I. General information
NPI: 1902040959
Provider Name (Legal Business Name): STEPS TO RECOVERY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/21/2009
Last Update Date: 04/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4535 NORMAL BLVD
LINCOLN NE
68506-5576
US
IV. Provider business mailing address
4307 RIDGEVIEW DR
LINCOLN NE
68516-1514
US
V. Phone/Fax
- Phone: 402-805-1930
- Fax:
- Phone: 402-483-4663
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | 2952 |
| License Number State | NE |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 2952 |
| License Number State | NE |
VIII. Authorized Official
Name: MS.
JANE
ELIZABETH
GOHDE
Title or Position: CEO- PRESIDENT
Credential: LMHP, BCPC
Phone: 402-483-4663