Stepworks of London LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

STEPWORKS OF LONDON LLC

Practice address

3825 Marydell Rd
London, KY 40741-8633

Phone

(800) 545-9031

Fax

(606) 877-9996

NPI assigned

Mar 19, 2015

Organization subpart

Yes

Parent organization

STEPWORKS RECOVERY CENTERS LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas G Ingram, MD

Title

Owner

Phone

(800) 545-9031

Specialties & licenses 1

Addresses

Part of

Stepworks Recovery Centers

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1598159378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6209",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427026209",
            "telephone_number": "800-545-9031",
            "fax_number": "606-877-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 MARYDELL RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407418633",
            "telephone_number": "800-545-9031",
            "fax_number": "606-877-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPWORKS OF LONDON LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEPWORKS RECOVERY CENTERS LLC",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-545-9031",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Bundy Stanko, M.D
• Kenneth Randall Starkey, PSYD
• Pamela Mortellaro Starkey, PSYD
• Buffey Vashay Steele, BS IECE
• Holly D Steely, PMHNP-BC
• Jerl David Stewart, CRNA
• Leslie Stewart
• Kacey M Stidham
• Lorie Jean Stines, APRN
• Streamline Case Management and Support LLC

• Substance Use Disorder Rehabilitation Clinic/Center in London, KY
• Providers in London, KY by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.