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General NPI Number Information
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NPI Number | 1063129690
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Entity Type | Organization
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Legal Business Name | STEP FORWARD TREATMENT CENTER
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Dates
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Enumeration Date | 11/02/2022
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 3212 CONCORD ST STE C
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City | ORANGE
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State | TX
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Zip | 77630-2981
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Country | US
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Telephone | 409-659-1656
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Fax |
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Provider Business Mailing Address
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Address Line | 3212 CONCORD ST STE C
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City | ORANGE
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State | TX
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Zip | 77630-2981
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Country | US
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Telephone | 409-659-1656
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ARDANA R TEATE
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Credential | LCDC
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Telephone | 409-548-2751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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