| Step Wellness Center | |
|
1616 Grant St Portsmouth OH 45662-3663 | |
| (740) 901-0416 | |
| (740) 901-0417 |
| Full Name | Step Wellness Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1616 Grant St, Portsmouth, Ohio |
| Authorized Official Name and Position | Cynthia Mild (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7409010416 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Step Wellness Center 1616 Grant St Portsmouth OH 45662-3663 Ph: (740) 901-0416 | Step Wellness Center 1616 Grant St Portsmouth OH 45662-3663 Ph: (740) 901-0416 |
| NPI Number | 1689208258 |
|---|---|
| Provider Enumeration Date | 02/23/2020 |
| Last Update Date | 04/09/2020 |
| Certification Date | 04/09/2020 |
| Medicare PECOS PAC ID | 0345670048 |
|---|---|
| Medicare Enrollment ID | O20200421001135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689208258 | NPI | - | NPPES |
| Provider Name | Lisa Childress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770983785 PECOS PAC ID: 9638390107 Enrollment ID: I20190724003649 |
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