First Step Youth Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FIRST STEP YOUTH SERVICES

Practice address

1407 S Main St
Danville, VA 24541-4083

Phone

(336) 769-7664

NPI assigned

Nov 20, 2015

Organization subpart

No

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

Authorized official

Name

Raphael Fulton

Title

Ceo

Phone

(336) 769-7664

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1437523941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4754 NEW WALKERTOWN RD",
            "city": "WALKERTOWN",
            "state": "NC",
            "postal_code": "270519637",
            "telephone_number": "336-769-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 S MAIN ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414083",
            "telephone_number": "336-769-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STEP YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "FULTON",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-769-7664"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamya Ferrell
• David Fesperman
• Bryan Edward Fichtner, FNP-BC
• Kenan Fidan
• Viktoria Figueroa
• Clay Carter Fisher
• Kathryn Fisher, FNP
• Sherrod Fisher, LPC
• Fit & Function PT, LLC
• Kala Monique Fitzgerald

• Community/Behavioral Health Agency in Danville, VA
• Providers in Danville, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.