Healthcare Provider Details
I. General information
NPI: 1083494330
Provider Name (Legal Business Name): ALEAH Y STEINER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/04/2023
Last Update Date: 10/04/2023
Certification Date: 10/04/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
910 S VAN BUREN ST
NEWTON IL
62448-1727
US
IV. Provider business mailing address
6715 OLD HIGHWAY 50
FLORA IL
62839-3365
US
V. Phone/Fax
- Phone: 618-783-4154
- Fax:
- Phone: 253-318-8469
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0405X |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: