Provider Demographics
NPI:1902086085
Name:STEPS BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:STEPS BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:KYLE
Authorized Official - Last Name:TIETSORT
Authorized Official - Suffix:
Authorized Official - Credentials:QP
Authorized Official - Phone:704-301-2099
Mailing Address - Street 1:PO BOX 550614
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28055-0614
Mailing Address - Country:US
Mailing Address - Phone:704-301-2099
Mailing Address - Fax:704-866-4984
Practice Address - Street 1:543 COX RD
Practice Address - Street 2:SUITE D- 4,5
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-0607
Practice Address - Country:US
Practice Address - Phone:704-865-7818
Practice Address - Fax:704-866-4984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health