Provider Demographics
NPI:1811505225
Name:STEP OF FAITH, LLC
Entity type:Organization
Organization Name:STEP OF FAITH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ABENA
Authorized Official - Middle Name:SANDO
Authorized Official - Last Name:ADOKO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:443-939-0513
Mailing Address - Street 1:6302 N POINT RD UNIT C
Mailing Address - Street 2:
Mailing Address - City:SPARROWS POINT
Mailing Address - State:MD
Mailing Address - Zip Code:21219-1040
Mailing Address - Country:US
Mailing Address - Phone:443-939-0513
Mailing Address - Fax:
Practice Address - Street 1:6302 N POINT RD UNIT C
Practice Address - Street 2:
Practice Address - City:SPARROWS POINT
Practice Address - State:MD
Practice Address - Zip Code:21219-1040
Practice Address - Country:US
Practice Address - Phone:443-939-0513
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STEP OF FAITH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-22
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty