MEDICARE: POSITIVE STEPS NC LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	342000000X	Transportation Network Company
3	172V00000X	Community Health Worker
4	251S00000X	Community/Behavioral Health Agency
5	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1538853635
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POSITIVE STEPS NC LLC

Provider Business Mailing Address
First Line	:	240 FIELD PINE DR
Second Line	:
City	:	BROWNS SUMMIT
State	:	NC
Zip	:	27214-9778
Country	:	US
Telephone Number	:	336-840-9609
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 N FAYETTEVILLE ST
Second Line	:
City	:	LIBERTY
State	:	NC
Zip	:	27298-3203
Country	:	US
Telephone Number	:	336-840-9609
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DARA NATAKA ADESIMBO GRIMES
Credential	:	M.ED
Telephone Number	:	336-840-9609

Provider Enumeration Date	:	06/05/2023
Last Update Date	:	12/26/2025

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Directions to “POSITIVE STEPS NC LLC ” Practice Location

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