Basic Information
Provider Information
NPI: 1902168230
EntityType: 2
ReplacementNPI:  
OrganizationName: STE CONSULTANTS
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
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Mailing Information
Address1: 2560 9TH ST STE 319C
Address2:  
City: BERKELEY
State: CA
PostalCode: 947102564
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2560 9TH ST STE 319C
Address2:  
City: BERKELEY
State: CA
PostalCode: 947102564
CountryCode: US
TelephoneNumber: 5106659700
FaxNumber: 5106659400
Other Information
ProviderEnumerationDate: 06/12/2012
LastUpdateDate: 06/12/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: MERCIER
AuthorizedOfficialFirstName: DEANNA
AuthorizedOfficialMiddleName: L
AuthorizedOfficialTitleorPosition: BAY AREA REGIONAL DIRECTOR
AuthorizedOfficialTelephone: 5106659700
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251S00000X  Y AgenciesCommunity/Behavioral Health 

No ID Information.


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