ONE STEP FORWARD OUTREACH INC. NPI 1205092376

NPI Information

NPI: 1205092376
Provider Name: ONE STEP FORWARD OUTREACH INC.
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
10000 WOODY RIDGE RD
CHARLOTTE, NC
ZIP 28273
Phone: (704) 496-1186
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ONE STEP FORWARD OUTREACH INC. is a residential treatment facility, intellectual and/or developmental disabilities in Charlotte, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. ONE STEP FORWARD OUTREACH INC. NPI is 1205092376. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10000 WOODY RIDGE RD
CHARLOTTE, NC
ZIP 28273-777
Phone: (704) 496-1186

The provider's authorized official is Marsha Daymon-adams .
The authorized official title is Owner/operator and has the following contact phone number (704) 496-1186.

The enumeration date for this NPI number is 7/29/2008 and was last updated on 11/23/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			No
2	103TM1800X	Psychologist	Intellectual and Developmental Disabilities			No
3	1041C0700X	Social Worker	Clinical			No
4	103TA0700X	Psychologist	Adult Development & Aging			No
5	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		MHL060-1060	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7806120	MEDICAID	NORTH CAROLINA

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: 5/5/2024

NPI Synchronization or Removal

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