Step Of Faith, Llc | |
6302 N Point Rd Unit C Sparrows Point MD 21219-1040 | |
(443) 939-0513 | |
Not Available |
Full Name | Step Of Faith, Llc |
---|---|
Speciality | Counselor |
Location | 6302 N Point Rd Unit C, Sparrows Point, Maryland |
Authorized Official Name and Position | Abena Adoko Sando (MENTAL HEALTH SOCIAL WORKER) |
Authorized Official Contact | 4439390513 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Step Of Faith, Llc 6302 N Point Rd Unit C Sparrows Point MD 21219-1040 Ph: (443) 939-0513 | Step Of Faith, Llc 6302 N Point Rd Unit C Sparrows Point MD 21219-1040 Ph: (443) 939-0513 |
NPI Number | 1790325512 |
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Provider Enumeration Date | 01/09/2020 |
Last Update Date | 07/22/2020 |
Certification Date | 07/22/2020 |
Medicare PECOS PAC ID | 7719316892 |
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Medicare Enrollment ID | O20200413000933 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790325512 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
Provider Name | Abena Adoko Sando |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1952666885 PECOS PAC ID: 2264681519 Enrollment ID: I20121003000041 |
Provider Name | Lakeyia Daniels |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033827654 PECOS PAC ID: 6406220573 Enrollment ID: I20230314000330 |
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