Organization
KY STEPS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL AGYEI BOAMAH MA, MSSW, LCSW (EXECUTIVE DIRECTOR)
(270) 320-1101
Entity
Organization
Contact information
Practice address
2815 RUSSELLVILLE RD, BOWLING GREEN, KY 42101-3960
(270) 938-1020
(270) 938-1018
Mailing address
489 MATLOCK RD, BOWLING GREEN, KY 42104-7407
(270) 320-1101
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0832605
—
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
102L00000X
Psychoanalyst
0832605
KY
103K00000X
Behavior Analyst
0832605
KY
103T00000X
Psychologist
0832605
KY
104100000X
Social Worker
0832605
KY
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
0832605
KY
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
0832605
KY
251S00000X
Community/Behavioral Health Agency
Primary
0832605
KY
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100250800
—
KY
05
—
7100325050
—
KY
Enumeration date
07/18/2013
Last updated
10/28/2019
Update your record
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