MEDICARE: DIRECTED STEPS COUNSELING CENTER, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	1041C0700X	Clinical Social Worker
3	106H00000X	Marriage & Family Therapist
4	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1407705858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIRECTED STEPS COUNSELING CENTER, LLC

Provider Business Mailing Address
First Line	:	708 W 15TH ST STE 100
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73013-3652
Country	:	US
Telephone Number	:	405-626-7882
Fax Number	:

Provider Business Practice Location Address
First Line	:	708 W 15TH ST STE 100
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73013-3652
Country	:	US
Telephone Number	:	405-626-7882
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL ANTHONY CROSS
Credential	:	LPC
Telephone Number	:	405-626-7882

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

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