Steps for Change Behavioral Healthcare LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

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

Last updated

Apr 5, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimesha Kelly SpinksNPI 1578916789

Title

President

Phone

(336) 302-0801

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimesha Kelly Spinks, MA

  • Case Manager/Care Coordinator
  • Siler City, NC
  • NPI 1578916789
  Authorized official Same address or phone

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": []
}

• William Stephen Steiner, PAC
• Destiny Stephens, FNP
• Mary Harris Stephens, MD
• Ella Michelle Stephenson, RN
• Stepping Through, LLC
• Brittney J Stevenson, DDS
• Deshawn Tramaral Stevenson, PHARMD
• Christopher James Stewart
• Debra Nothnagel Stewart, RNFA, MSN
• Kyla Victoria Stewart

• Community/Behavioral Health Agency in Conyers, GA
• Providers in Conyers, GA by specialty
• Community/Behavioral Health Agency in Georgia

• 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.

Verify at the official NPI Registry.