Healthcare Provider Details

I. General information

NPI: 1437804572
Provider Name (Legal Business Name): STEP OF FAITH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2022
Last Update Date: 02/17/2022
Certification Date: 02/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5411 OLD FREDERICK RD STE 7
BALTIMORE MD
21229-2126
US

IV. Provider business mailing address

5411 OLD FREDERICK RD STE 7
BALTIMORE MD
21229-2126
US

V. Phone/Fax

Practice location:
  • Phone: 410-205-9013
  • Fax: 443-256-4910
Mailing address:
  • Phone: 410-205-9013
  • Fax: 443-256-4910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ABENA ADOKO ADOKO SANDO
Title or Position: OWNER
Credential:
Phone: 443-939-0513