Provider Demographics
NPI:1336996297
Name:EARLY STEPS THERAPY LLC
Entity type:Organization
Organization Name:EARLY STEPS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MORGON
Authorized Official - Middle Name:
Authorized Official - Last Name:OUTING RIVERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-622-5971
Mailing Address - Street 1:851 SINCLAIR DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28112-7738
Mailing Address - Country:US
Mailing Address - Phone:843-622-5971
Mailing Address - Fax:
Practice Address - Street 1:851 SINCLAIR DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-7738
Practice Address - Country:US
Practice Address - Phone:843-622-5971
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency