Healthcare Provider Details

I. General information

NPI: 1780704692
Provider Name (Legal Business Name): STAIRWAYS BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2911 STATE ST
ERIE PA
16508-1831
US

IV. Provider business mailing address

2185 W 8TH ST
ERIE PA
16505-4747
US

V. Phone/Fax

Practice location:
  • Phone: 814-453-5806
  • Fax:
Mailing address:
  • Phone: 814-453-5806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number257073
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number257073
License Number StatePA

VIII. Authorized Official

Name: ANN MARIE ERNST
Title or Position: BUSINESS OFFICE MANAGER
Credential:
Phone: 814-464-8311