Healthcare Provider Details

I. General information

NPI: 1649033564
Provider Name (Legal Business Name): STEP ABOVE COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2024
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7176 SYDNOR LN
MECHANICSVILLE VA
23111-5019
US

IV. Provider business mailing address

4901 FITZHUGH AVE STE 101
RICHMOND VA
23230-3531
US

V. Phone/Fax

Practice location:
  • Phone: 646-708-3159
  • Fax:
Mailing address:
  • Phone: 804-728-3856
  • Fax: 804-351-5171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KELIN SANTOS
Title or Position: CEO
Credential: LCSW
Phone: 804-728-3856