Provider Demographics
NPI:1043053705
Name:STEPS TO WELLNESS, II PEER SUPPORT SERVICES, LLC
Entity type:Organization
Organization Name:STEPS TO WELLNESS, II PEER SUPPORT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WOOLFOLK
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD (C), HS-BCP, LI
Authorized Official - Phone:216-374-6245
Mailing Address - Street 1:3577 E 144TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-4808
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12200 FAIRHILL RD STE B218
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120-1068
Practice Address - Country:US
Practice Address - Phone:216-374-6245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty