Healthcare Provider Details
I. General information
NPI: 1518756352
Provider Name (Legal Business Name): LUKE STECKI
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/06/2025
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2801 C CT
ASHTABULA OH
44004-4577
US
IV. Provider business mailing address
158 W MAIN ST
ANDOVER OH
44003-9318
US
V. Phone/Fax
- Phone: 440-998-0722
- Fax:
- Phone: 216-800-8700
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 175T00000X |
| Taxonomy | Peer Specialist |
| License Number | APS.006117 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | 195860 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: