MEDICARE: ANGEL STEPS

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	LCSW, PIP	AL
2	251S00000X	Community/Behavioral Health Agency	003844	GA
3	251S00000X	Community/Behavioral Health Agency	1262	CO

General Provider Information

NPI Number	:	1770788135
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGEL STEPS

Provider Business Mailing Address
First Line	:	PO BOX 12732
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80902-2732
Country	:	US
Telephone Number	:	706-761-8463
Fax Number	:

Provider Business Practice Location Address
First Line	:	4136 HARVEST MOON TER
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80925-1112
Country	:	US
Telephone Number	:	706-761-8463
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	SYLVIA SCHYBERG
Credential	:	LCSW, PIP
Telephone Number	:	706-761-8463

Provider Enumeration Date	:	06/17/2007
Last Update Date	:	04/24/2009

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Directions to “ANGEL STEPS ” Practice Location

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