Provider Demographics
NPI:1275964991
Name:STR ADDICTION COUNSELING, LLC
Entity Type:Organization
Organization Name:STR ADDICTION COUNSELING, LLC
Other - Org Name:STEPS TO RECOVERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF HR & FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:DUMONT
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:267-234-7886
Mailing Address - Street 1:1400 VETERANS HWY
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19056-2115
Mailing Address - Country:US
Mailing Address - Phone:267-234-7886
Mailing Address - Fax:267-234-7886
Practice Address - Street 1:1400 VETERANS HWY
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19056-2115
Practice Address - Country:US
Practice Address - Phone:267-244-1107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CIVIQ HEALTH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-12-05
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health