NPI Code Details Logo

NPI 1093136319

NPI 1093136319 : STEPPING STONES THERAPY SERVICES : MAUMELLE, AR

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1093136319
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    STEPPING STONES THERAPY SERVICES 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/05/2014
-----------------------------------------------------
    Last Update Date     |    01/05/2014
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    25 GARDEN OAKS DR 
-----------------------------------------------------
    City                 |    MAUMELLE
-----------------------------------------------------
    State                |    AR
-----------------------------------------------------
    Zip                  |    72113-6864
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    318-282-7476
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    25 GARDEN OAKS DR 
-----------------------------------------------------
    City                 |    MAUMELLE
-----------------------------------------------------
    State                |    AR
-----------------------------------------------------
    Zip                  |    72113-6864
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    318-282-7476
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     MARY  CAMPBELL 
-----------------------------------------------------
    Credential           |    M.S. CCC-SLP
-----------------------------------------------------
    Telephone            |    318-282-7476
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    225X00000X
-----------------------------------------------------
    Taxonomy Name        |    Occupational Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    235Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Speech-Language Pathologist
-----------------------------------------------------
    License Number       |    SP#3147
-----------------------------------------------------
    License Number State |    AR
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.