Provider Demographics
NPI: | 1932885233 |
---|---|
Name: | TAKE A STEP LLC |
Entity type: | Organization |
Organization Name: | TAKE A STEP LLC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | CHIEF OPERATING OFFICER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | LETETIA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SMITH |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 214-448-6626 |
Mailing Address - Street 1: | 1604 CROWN POINT DR |
Mailing Address - Street 2: | |
Mailing Address - City: | FRISCO |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75036-8770 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 214-448-6626 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 2770 MAIN ST |
Practice Address - Street 2: | |
Practice Address - City: | FRISCO |
Practice Address - State: | TX |
Practice Address - Zip Code: | 75033-4302 |
Practice Address - Country: | US |
Practice Address - Phone: | 214-448-6626 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-06-22 |
Last Update Date: | 2025-03-02 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
No | 163W00000X | Nursing Service Providers | Registered Nurse | |
No | 163WP0807X | Nursing Service Providers | Registered Nurse | Psychiatric/Mental Health, Child & Adolescent |
No | 177F00000X | Other Service Providers | Lodging | |
No | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | |
No | 251S00000X | Agencies | Community/Behavioral Health | |
No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) |
No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health |
No | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
No | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | |
No | 385H00000X | Respite Care Facility | Respite Care | |
No | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child |