Organization Active NPI

Steps for Change Behavioral Healthcare LLC

  • Community/Behavioral Health Agency
  • Conyers, GA
National Provider Identifier
1043553258
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.