Provider Demographics
NPI:1528682366
Name:STEP ONE, LLC
Entity type:Organization
Organization Name:STEP ONE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TIERRE
Authorized Official - Middle Name:JEROME
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:SR
Authorized Official - Credentials:CSC-AD
Authorized Official - Phone:443-793-5445
Mailing Address - Street 1:3228 NORTHWAY DR
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-7827
Mailing Address - Country:US
Mailing Address - Phone:443-793-5445
Mailing Address - Fax:
Practice Address - Street 1:3101 LAWNVIEW AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21213-1617
Practice Address - Country:US
Practice Address - Phone:443-793-5445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STEP ONE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-07
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health