=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184542003
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEXT STEP COUNSELING & SUPERVISION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/08/2026
-----------------------------------------------------
Last Update Date | 07/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10931 E INDEPENDENCE BLVD # D25
-----------------------------------------------------
City | MATTHEWS
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28105-5056
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 980-290-5503
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1222 AUSTIN CHANEY RD
-----------------------------------------------------
City | WINGATE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28174-9764
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | BRITNI ANGELA EATON
-----------------------------------------------------
Credential | LCMHCS, LCAS, CSI
-----------------------------------------------------
Telephone | 980-290-5503
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------