Healthcare Provider Details

I. General information

NPI: 1881276822
Provider Name (Legal Business Name): STEP-UP EMPOWERMENT SERVICES, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2021
Last Update Date: 08/20/2023
Certification Date: 08/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2670 CRAIN HWY STE 105&103
WALDORF MD
20601-2806
US

IV. Provider business mailing address

2670 CRAIN HWY STE 105
WALDORF MD
20601-2820
US

V. Phone/Fax

Practice location:
  • Phone: 240-346-4285
  • Fax:
Mailing address:
  • Phone: 240-346-4285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: NATASHA ABBOTT
Title or Position: OWNER
Credential: M.ED
Phone: 240-346-4285