MEDICARE: GUIDING STEPS HEALTH SERVICES, 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	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	23080331	OTHER	AZ	ENTITY ID

General Provider Information

NPI Number	:	1043827025
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUIDING STEPS HEALTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	1919 E ALAMEDA DR
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85282-2815
Country	:	US
Telephone Number	:	480-226-2621
Fax Number	:

Provider Business Practice Location Address
First Line	:	4926 E MCDOWELL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85008-4294
Country	:	US
Telephone Number	:	480-226-2621
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	ASHLEY SCHINDELMEISER
Credential	:
Telephone Number	:	480-226-2621

Provider Enumeration Date	:	09/24/2020
Last Update Date	:	09/24/2020

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