MEDICARE: A STEP UP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1801644430
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A STEP UP LLC

Provider Business Mailing Address
First Line	:	3812 STOCKTON ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23224-3332
Country	:	US
Telephone Number	:	804-939-9904
Fax Number	:

Provider Business Practice Location Address
First Line	:	7277 HANOVER GREEN DR STE A2
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23111-1764
Country	:	US
Telephone Number	:	804-939-9904
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DANIELLE JANES
Credential	:
Telephone Number	:	804-939-9904

Provider Enumeration Date	:	05/08/2024
Last Update Date	:	07/22/2024

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Directions to “A STEP UP LLC ” Practice Location

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