Provider Demographics
NPI:1619857901
Name:STEP OF FAITH, LLC - INTEGRATED HEALTH
Entity type:Organization
Organization Name:STEP OF FAITH, LLC - INTEGRATED HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ABENA
Authorized Official - Middle Name:ADOKO
Authorized Official - Last Name:ADOKO SANDO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSS-C
Authorized Official - Phone:443-939-0513
Mailing Address - Street 1:5411 OLD FREDERICK RD STE 7
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-2126
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5411 OLD FREDERICK RD STE 11
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-2100
Practice Address - Country:US
Practice Address - Phone:410-205-9013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STEP OF FAITH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty