Healthcare Provider Details

I. General information

NPI: 1437419348
Provider Name (Legal Business Name): STEPPING STONES COMMUNITY RESOURCES, INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2012
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1760 PARKWOOD BLVD W
WILSON NC
27893-3679
US

IV. Provider business mailing address

PO BOX 2071
WENDELL NC
27591-2071
US

V. Phone/Fax

Practice location:
  • Phone: 919-269-9300
  • Fax:
Mailing address:
  • Phone: 919-269-9300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JESSICA NEWTON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 919-904-1909