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
634 1ST ST S, WINTER HAVEN, FL 33880-3603
(407) 912-4574
(336) 824-1737
Mailing address
634 1ST ST S, WINTER HAVEN, FL 33880-3603
(407) 912-4574
(336) 824-1737
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ATN620797
—
FL
05
—
ATN620799
—
FL
Enumeration date
04/10/2016
Last updated
10/19/2016
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