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NPI Code Detail

MEDICARE: THE STEPPING STONES GROUP, LLC

MEDICARE: THE STEPPING STONES GROUP, 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
1101YS0200XSchool Counselor
2103T00000XPsychologist
3103TS0200XSchool Psychologist
4104100000XSocial Worker
5106H00000XMarriage & Family Therapist
6251300000XLocal Education Agency (LEA)
7251C00000XDevelopmentally Disabled Services Day Training Agency
8252Y00000XEarly Intervention Provider Agency
9101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1619298569
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE STEPPING STONES GROUP, LLC
Provider Business Mailing Address
First Line : 1320 MAIN ST STE 300
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-3266
Country : US
Telephone Number : 805-915-9912
Fax Number :
Provider Business Practice Location Address
First Line : 1320 MAIN ST STE 300
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-3266
Country : US
Telephone Number : 805-915-9912
Fax Number :
Authorized Official
Title or Position : CCDO
Name : DOUGLAS RAYMOND MOES
Credential :
Telephone Number : 805-915-9912
Provider Enumeration Date : 06/15/2010
Last Update Date : 09/12/2022

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Directions to “THE STEPPING STONES GROUP, LLC ” Practice Location

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