Healthcare Provider Details

I. General information

NPI: 1447197686
Provider Name (Legal Business Name): STEPPING STONES WELLNESS & SUPPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

927 S LAFAYETTE ST STE 5
SHELBY NC
28152-5851
US

IV. Provider business mailing address

507 LEE DR
SHELBY NC
28152-7615
US

V. Phone/Fax

Practice location:
  • Phone: 704-297-8211
  • Fax:
Mailing address:
  • Phone: 704-297-8211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: AUTUMN JOY HARRIS
Title or Position: OWNER
Credential:
Phone: 704-297-8211