Healthcare Provider Details

I. General information

NPI: 1508076670
Provider Name (Legal Business Name): THE NEXT STEP OF SC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1483 TOBIAS GADSON BLVD SUITE 205A
CHARLESTON SC
29407-8702
US

IV. Provider business mailing address

1483 TOBIAS GADSON BLVD SUITE 205A
CHARLESTON SC
29407-8702
US

V. Phone/Fax

Practice location:
  • Phone: 843-814-3969
  • Fax: 843-766-2315
Mailing address:
  • Phone: 843-814-3969
  • Fax: 843-766-2315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number160
License Number StateSC

VIII. Authorized Official

Name: MS. SUSAN HODGE PRETTY
Title or Position: PRESIDENT
Credential: OTR
Phone: 843-814-3969