Provider Demographics
NPI:1073012555
Name:PIVOTAL STEP SERVICES, PLLC
Entity type:Organization
Organization Name:PIVOTAL STEP SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:DINGLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCAS
Authorized Official - Phone:910-370-1333
Mailing Address - Street 1:140 BALSAM RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-8508
Mailing Address - Country:US
Mailing Address - Phone:910-370-1333
Mailing Address - Fax:910-356-9163
Practice Address - Street 1:1106B GUM BRANCH RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-5743
Practice Address - Country:US
Practice Address - Phone:910-370-1333
Practice Address - Fax:910-356-9163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-09
Last Update Date:2018-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health