Organization
STEPS FOR CHANGE BEHAVIORAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMESHA SPINKS (CEO)
(336) 302-0801
Entity
Organization
Contact information
Practice address
1297 PROFESSIONAL DR, MYRTLE BEACH, SC 29577-5713
(336) 302-0801
Mailing address
1297 PROFESSIONAL DR, MYRTLE BEACH, SC 29577-5713
(336) 302-0801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
SC
251B00000X
Case Management Agency
—
SC
251S00000X
Community/Behavioral Health Agency
Primary
—
SC
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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