Healthcare Provider Details
I. General information
NPI: 1336002278
Provider Name (Legal Business Name): STRONGSTEPS BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 11/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3701 VESTAL PARKWAY EAST SUITE 2 PMB 1054
VESTAL NY
13850
US
IV. Provider business mailing address
3701 VESTAL PARKWAY EAST SUITE 2 PMB 1054
VESTAL NY
13850
US
V. Phone/Fax
- Phone: 844-239-3280
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
STEVEN
T
CARTER
JR.
Title or Position: DIRECTOR
Credential:
Phone: 607-677-4895