Provider Demographics
NPI:1821517160
Name:STEPWORKS RECOVERY CENTERS LLC
Entity Type:Organization
Organization Name:STEPWORKS RECOVERY CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:INGRAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:800-545-9031
Mailing Address - Street 1:1690 RING RD STE 230
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-4411
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1690 RING RD STE 230
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-4411
Practice Address - Country:US
Practice Address - Phone:800-545-9031
Practice Address - Fax:270-982-1284
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INGRAM & BALL, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-19
Last Update Date:2017-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty