Healthcare Provider Details

I. General information

NPI: 1508343286
Provider Name (Legal Business Name): NEXT STEPS BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2018
Last Update Date: 02/19/2021
Certification Date: 02/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3284 NORTH BEND RD #108
CINCINNATI OH
45211-4521
US

IV. Provider business mailing address

3284 N BEND RD STE 108
CINCINNATI OH
45239-7688
US

V. Phone/Fax

Practice location:
  • Phone: 513-389-9111
  • Fax:
Mailing address:
  • Phone: 513-389-9111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL FULLER
Title or Position: DIRECTOR
Credential:
Phone: 513-389-9111