Healthcare Provider Details

I. General information

NPI: 1245045178
Provider Name (Legal Business Name): CLEAR STEPS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2025
Last Update Date: 01/30/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 FESTIVAL PARK PLZ STE 3C
CHESTER VA
23831-4415
US

IV. Provider business mailing address

3930 MEADOWDALE BLVD # 3420
NORTH CHESTERFIELD VA
23234-7871
US

V. Phone/Fax

Practice location:
  • Phone: 804-592-9569
  • Fax:
Mailing address:
  • Phone: 804-592-9569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHATARA PRICE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 804-592-9569