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NPI 1487184511

NPI 1487184511 : STEP BY STEP BEHAVIORAL HEALTH SERVICES LLC : GAINESVILLE, FL

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General NPI Number Information
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    NPI Number           |    1487184511
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    Entity Type          |    Organization 
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    Legal Business Name  |    STEP BY STEP BEHAVIORAL HEALTH SERVICES LLC 
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Dates
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    Enumeration Date     |    06/12/2017
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    Last Update Date     |    12/09/2025
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Provider Practice Location Address
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    Address Line         |    901 NW 8TH AVE STE B31 
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    City                 |    GAINESVILLE
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    State                |    FL
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    Zip                  |    32601-5011
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    Country              |    US
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    Telephone            |    888-763-7837
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    Fax                  |    888-376-7135
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Provider Business Mailing Address
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    Address Line         |    PO BOX 26142 
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    City                 |    JACKSONVILLE
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    State                |    FL
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    Zip                  |    32226-6142
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    Country              |    US
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    Telephone            |    904-503-3954
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    Fax                  |    888-376-7135
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     DESIREE CORLEY JONES 
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    Credential           |    LMHC
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    Telephone            |    888-763-7837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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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        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    MH8698
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    251C00000X
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    Taxonomy Name        |    Developmentally Disabled Services Day Training Agency
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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        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    8698
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    License Number State |    FL
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