Healthcare Provider Details

I. General information

NPI: 1609934223
Provider Name (Legal Business Name): STEPPING STONES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1235 BUFFALO CREEK ROAD
HUNTINGTON WV
25704
US

IV. Provider business mailing address

PO BOX 539
LAVALETTE WV
25535-0539
US

V. Phone/Fax

Practice location:
  • Phone: 304-429-2297
  • Fax: 304-429-8365
Mailing address:
  • Phone: 304-429-2297
  • Fax: 304-429-8365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. SUSAN R FRY
Title or Position: EXECUTIVE DIRECTOR
Credential: LPC
Phone: 304-429-2297