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General NPI Number Information
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NPI Number | 1912560616
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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 | 04/17/2019
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1760 SHADOWOOD LN STE 408
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City | JACKSONVILLE
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State | FL
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Zip | 32207-2182
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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 | 888-763-7837
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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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Taxonomy #3
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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Taxonomy #4
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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Taxonomy #5
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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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Taxonomy #6
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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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