Provider Demographics
NPI:1922608017
Name:ROTHWELL, STEVE
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:
Last Name:ROTHWELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 WEST ST
Mailing Address - Street 2:
Mailing Address - City:BETHANY
Mailing Address - State:WV
Mailing Address - Zip Code:26032-2033
Mailing Address - Country:US
Mailing Address - Phone:304-479-1886
Mailing Address - Fax:
Practice Address - Street 1:651 COLLIERS WAY
Practice Address - Street 2:
Practice Address - City:WEIRTON
Practice Address - State:WV
Practice Address - Zip Code:26062-5053
Practice Address - Country:US
Practice Address - Phone:304-723-3423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-28
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health