Provider Demographics
NPI:1871612143
Name:LIFE STEPS CHRISTIAN COUNSELING
Entity type:Organization
Organization Name:LIFE STEPS CHRISTIAN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:BECKER
Authorized Official - Suffix:
Authorized Official - Credentials:MA,LPCC,LSW
Authorized Official - Phone:330-262-2453
Mailing Address - Street 1:148 E LIBERTY ST STE 223
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-4389
Mailing Address - Country:US
Mailing Address - Phone:330-262-2453
Mailing Address - Fax:330-262-2405
Practice Address - Street 1:148 E LIBERTY ST STE 223
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-4389
Practice Address - Country:US
Practice Address - Phone:330-262-2453
Practice Address - Fax:330-262-2405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0003788101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty