Provider Demographics
NPI:1548530058
Name:PERMANENCY STEPS CONSULTING FIRM, LLC
Entity type:Organization
Organization Name:PERMANENCY STEPS CONSULTING FIRM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:IVIS
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:404-323-6198
Mailing Address - Street 1:PO BOX 960424
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30296-0424
Mailing Address - Country:US
Mailing Address - Phone:404-323-6198
Mailing Address - Fax:770-472-7890
Practice Address - Street 1:136 HIGHWAY 138 SW
Practice Address - Street 2:SUITE 200
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-4008
Practice Address - Country:US
Practice Address - Phone:404-323-6198
Practice Address - Fax:770-472-7890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-01
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW000573251B00000X, 252Y00000X, 251S00000X
251X00000X, 347C00000X, 347E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No251X00000XAgenciesSupports Brokerage
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker
No252Y00000XAgenciesEarly Intervention Provider Agency