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STEP UP ON SECOND STREET INC. NPI 1164164810


NPI Information

NPI: 1164164810
Provider Name: STEP UP ON SECOND STREET, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
107 SOUTHERN BLVD STE 102
SAVANNAH, GA
ZIP 31405
Phone: (470) 462-3330
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STEP UP ON SECOND STREET, INC. is a community behavioral health in Savannah, GA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. STEP UP ON SECOND STREET, INC. NPI is 1164164810. The provider is registered as an organization entity type.

The provider's business location address is:

107 SOUTHERN BLVD STE 102
SAVANNAH, GA
ZIP 31405-438
Phone: (470) 462-3330

The provider's authorized official is David Mark Tavlin .
The authorized official title is Chief Program Officer and has the following contact phone number (310) 985-5250.

The enumeration date for this NPI number is 4/12/2022 and was last updated on 4/12/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.