Healthcare Provider Details

I. General information

NPI: 1366795726
Provider Name (Legal Business Name): STEPPING STONES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2012
Last Update Date: 06/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3836 TARRANT TRACE CIR
HIGH POINT NC
27265-3613
US

IV. Provider business mailing address

3836 TARRANT TRACE CIR
HIGH POINT NC
27265-3613
US

V. Phone/Fax

Practice location:
  • Phone: 336-327-2931
  • Fax:
Mailing address:
  • Phone: 336-327-2931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. MARTIKA L HARRINGTON
Title or Position: OWNER
Credential:
Phone: 336-327-2931