First Step Service LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2458 Issued in VA

Legal business name

FIRST STEP SERVICE LLC

Practice address

20 E Tabb St Ste 204
Petersburg, VA 23803-4560

Phone

(804) 712-3546

NPI assigned

Apr 27, 2016

Organization subpart

No

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

Authorized official

Name

Titoni Levon Crenshaw

Title

Executive Director

Phone

(804) 712-3546

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1427403476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E TABB ST STE 204",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238034560",
            "telephone_number": "804-712-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E TABB ST STE 204",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238034560",
            "telephone_number": "804-712-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STEP SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "CRENSHAW",
        "authorized_official_first_name": "TITONI",
        "authorized_official_middle_name": "LEVON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-712-3546"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "2458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.