=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912875261
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | 1ST STEPP MENTAL HEALTH, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/28/2025
-----------------------------------------------------
Last Update Date | 10/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 300 STATE ROUTE U
-----------------------------------------------------
City | CARUTHERSVILLE
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63830-2332
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 573-333-0084
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 902
-----------------------------------------------------
City | CARUTHERSVILLE
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63830-0902
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 573-333-0084
-----------------------------------------------------
Fax | 573-333-2106
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | ANTHONY STEPP
-----------------------------------------------------
Credential | STEPP
-----------------------------------------------------
Telephone | 573-333-0084
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3747P1801X
-----------------------------------------------------
Taxonomy Name | Personal Care Attendant
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------