Provider Demographics
NPI:1437804572
Name:STEP OF FAITH, LLC
Entity Type:Organization
Organization Name:STEP OF FAITH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABENA
Authorized Official - Middle Name:ADOKO
Authorized Official - Last Name:ADOKO SANDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-939-0513
Mailing Address - Street 1:5411 OLD FREDERICK RD STE 7
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-2126
Mailing Address - Country:US
Mailing Address - Phone:410-205-9013
Mailing Address - Fax:443-256-4910
Practice Address - Street 1:5411 OLD FREDERICK RD STE 7
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-2126
Practice Address - Country:US
Practice Address - Phone:410-205-9013
Practice Address - Fax:443-256-4910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)