Healthcare Provider Details
I. General information
NPI: 1114895968
Provider Name (Legal Business Name): FIRST STEP COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/24/2025
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3651 WINFIELD DUNN PKWY
KODAK TN
37764-1471
US
IV. Provider business mailing address
3651 WINFIELD DUNN PKWY
KODAK TN
37764-1471
US
V. Phone/Fax
- Phone: 865-465-7088
- Fax: 888-909-9643
- Phone: 865-465-7088
- Fax: 888-909-9643
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QA0401X |
| Taxonomy | Addiction Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KAREN
LYNN
LESTER
Title or Position: CEO
Credential: FNP
Phone: 865-603-4802