Active NPI
Steps for Change Behavioral Healthcare LLC
- Community/Behavioral Health Agency
- Conyers, GA
National Provider Identifier
1043553258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- STEPS FOR CHANGE BEHAVIORAL HEALTHCARE LLC
- Practice address
- 2385 Wall St SE Ste 117
Conyers, GA 30013-2187 - Phone
- (336) 302-0801
- NPI assigned
- Apr 5, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimesha Kelly Spinks
- Title
- President
- Phone
- (336) 302-0801
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | GA | ||
| Community/Behavioral Health Agency | 251S00000X | GA | Primary |
Addresses
Primary practice location
2385 Wall St SE Ste 117
Conyers, GA 30013-2187
Mailing address
106 Weatherly SQ
Ramseur, NC 27316-8480
Phone (336) 302-0801
National Provider Directory
National Provider DirectoryLocations
2385 Wall St SE
Ste 117
Conyers, GA 30013
Phone (336) 302-0801
106 Weatherly Sq
Ramseur, NC 27316
Phone (336) 824-1735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365120000000",
"number": "1043553258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 WEATHERLY SQ",
"city": "RAMSEUR",
"state": "NC",
"postal_code": "273168480",
"telephone_number": "336-302-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2385 WALL ST SE STE 117",
"city": "CONYERS",
"state": "GA",
"postal_code": "300132187",
"telephone_number": "336-302-0801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPS FOR CHANGE BEHAVIORAL HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-05",
"last_updated": "2013-04-05",
"status": "A",
"authorized_official_last_name": "SPINKS",
"authorized_official_first_name": "KIMESHA",
"authorized_official_middle_name": "KELLY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "336-302-0801"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.