Healthcare Provider Details

I. General information

NPI: 1083530745
Provider Name (Legal Business Name): LIFESTEPS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 OAKLAND RIDGE CV
OAKLAND TN
38060-2006
US

IV. Provider business mailing address

80 OAKLAND RIDGE CV
OAKLAND TN
38060-2006
US

V. Phone/Fax

Practice location:
  • Phone: 901-431-4564
  • Fax:
Mailing address:
  • Phone: 901-431-4564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: JERRICA LINDSEY
Title or Position: DIRECTOR
Credential:
Phone: 901-431-4564