Healthcare Provider Details

I. General information

NPI: 1891513537
Provider Name (Legal Business Name): STEPPING STONES DRUG TREATMENT CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2024
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6907 PAGE AVE
SAINT LOUIS MO
63133-1507
US

IV. Provider business mailing address

6907 PAGE AVE
SAINT LOUIS MO
63133-1507
US

V. Phone/Fax

Practice location:
  • Phone: 636-800-2401
  • Fax: 636-800-2402
Mailing address:
  • Phone: 636-800-2401
  • Fax: 636-800-2402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. BIANCA GIST
Title or Position: OWNER
Credential: MAADC I
Phone: 636-800-2401