Healthcare Provider Details

I. General information

NPI: 1790570166
Provider Name (Legal Business Name): STEPPING STONES FAMILY THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2025
Last Update Date: 05/04/2025
Certification Date: 05/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 5TH AVE SW STE 101
OLYMPIA WA
98502-5483
US

IV. Provider business mailing address

1020 5TH AVE SW STE 101
OLYMPIA WA
98502-5483
US

V. Phone/Fax

Practice location:
  • Phone: 564-464-3418
  • Fax: 564-464-3489
Mailing address:
  • Phone: 564-464-3418
  • Fax: 564-464-3489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: CAITLIN SULLIVAN
Title or Position: PARTNER/OWNER/PROVIDER
Credential: LMFT
Phone: 206-245-0773