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General NPI Number Information
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NPI Number | 1205112430
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Entity Type | Organization
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Legal Business Name | STEPS FOR CHANGE BEHAVIORAL HEALTH CARE AND COUNSELING CENTER
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Dates
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Enumeration Date | 11/02/2011
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Last Update Date | 06/12/2019
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Provider Practice Location Address
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Address Line | 103 S BRADY ST
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City | RAMSEUR
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State | NC
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Zip | 27316-9538
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Country | US
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Telephone | 336-824-1735
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Fax | 888-321-3812
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Provider Business Mailing Address
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Address Line | 103 S BRADY ST
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City | RAMSEUR
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State | NC
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Zip | 27316-9538
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIMESHA SPINKS
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Credential |
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Telephone | 336-302-0801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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