MEDICARE: NEW STEP PSYCHIATRY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1023859444
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW STEP PSYCHIATRY LLC

Provider Business Mailing Address
First Line	:	820 SW FEDERAL HWY UNIT 162
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34994-2939
Country	:	US
Telephone Number	:	561-201-3300
Fax Number	:

Provider Business Practice Location Address
First Line	:	820 SW FEDERAL HWY UNIT 162
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34994-2939
Country	:	US
Telephone Number	:	561-201-3300
Fax Number	:

Authorized Official
Title or Position	:	OWNER OF ENTITY
Name	:	RENATA PIPER
Credential	:
Telephone Number	:	561-201-3300

Provider Enumeration Date	:	06/03/2024
Last Update Date	:	06/03/2024

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Directions to “NEW STEP PSYCHIATRY LLC ” Practice Location

Language	Start Address	Practice Location

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