Provider Demographics
NPI:1528738341
Name:1ST STEP HOUSING CONSULTANT
Entity type:Organization
Organization Name:1ST STEP HOUSING CONSULTANT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AQUEELAH
Authorized Official - Middle Name:H
Authorized Official - Last Name:WHITFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-952-6937
Mailing Address - Street 1:11083 187TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:ELK RIVER
Mailing Address - State:MN
Mailing Address - Zip Code:55330-7806
Mailing Address - Country:US
Mailing Address - Phone:952-693-7236
Mailing Address - Fax:
Practice Address - Street 1:11083 187TH AVE NW
Practice Address - Street 2:
Practice Address - City:ELK RIVER
Practice Address - State:MN
Practice Address - Zip Code:55330-7806
Practice Address - Country:US
Practice Address - Phone:952-693-7236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-14
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty