Provider Demographics
NPI:1962721969
Name:THE NEXT STEP
Entity type:Organization
Organization Name:THE NEXT STEP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TILLOTSON-CORDY
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:857-249-9130
Mailing Address - Street 1:30 DENNISON AVE
Mailing Address - Street 2:
Mailing Address - City:SWAMPSCOTT
Mailing Address - State:MA
Mailing Address - Zip Code:01907-1422
Mailing Address - Country:US
Mailing Address - Phone:857-249-9130
Mailing Address - Fax:
Practice Address - Street 1:30 DENNISON AVE
Practice Address - Street 2:
Practice Address - City:SWAMPSCOTT
Practice Address - State:MA
Practice Address - Zip Code:01907-1422
Practice Address - Country:US
Practice Address - Phone:857-249-9130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-31
Last Update Date:2010-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health