Provider Demographics
NPI:1306156682
Name:STEPPIN OUT FAMILY SERVICES LLC.,
Entity type:Organization
Organization Name:STEPPIN OUT FAMILY SERVICES LLC.,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:FAY
Authorized Official - Last Name:CRUTCHER-AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-353-1079
Mailing Address - Street 1:3624 RUSSIAN OLIVE STREET
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032
Mailing Address - Country:US
Mailing Address - Phone:702-353-1079
Mailing Address - Fax:
Practice Address - Street 1:3624 RUSSIAN OLIVE ST
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-7643
Practice Address - Country:US
Practice Address - Phone:702-353-1079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV251C00000X, 253J00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No253J00000XAgenciesFoster Care Agency