Healthcare Provider Details

I. General information

NPI: 1346552403
Provider Name (Legal Business Name): STEPPING STONES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2010
Last Update Date: 07/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4961 CADE RD
CADES SC
29518-3047
US

IV. Provider business mailing address

4961 CADE RD
CADES SC
29518-3047
US

V. Phone/Fax

Practice location:
  • Phone: 843-229-7693
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. DEBORAH STACKER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 843-229-7693