Healthcare Provider Details

I. General information

NPI: 1609769835
Provider Name (Legal Business Name): STEP ABOVE TO WELLNESS & RECOVERY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2025
Last Update Date: 05/29/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7176 SYDNOR LN
MECHANICSVILLE VA
23111-5019
US

IV. Provider business mailing address

7176 SYDNOR LN
MECHANICSVILLE VA
23111-5019
US

V. Phone/Fax

Practice location:
  • Phone: 804-592-6992
  • Fax: 804-417-7981
Mailing address:
  • Phone: 804-592-6992
  • Fax: 804-417-7981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. KELIN SANTOS
Title or Position: CEO-OWNER
Credential: MSW-LCSW
Phone: 646-708-3159