=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154766574
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FIRST STEP SOLUTIONS BEHAVIOR HEALTH INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/30/2013
-----------------------------------------------------
Last Update Date | 04/30/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13899 BISCAYNE BLVD STE 154
-----------------------------------------------------
City | NORTH MIAMI BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33181-1600
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-341-3448
-----------------------------------------------------
Fax | 305-341-3449
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 13899 BISCAYNE BLVD STE 154
-----------------------------------------------------
City | NORTH MIAMI BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33181-1651
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-341-3448
-----------------------------------------------------
Fax | 305-341-3449
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MRS. LASHANDA K. LUMPKIN
-----------------------------------------------------
Credential | MS
-----------------------------------------------------
Telephone | 305-341-3448
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251B00000X
-----------------------------------------------------
Taxonomy Name | Case Management Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------