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General NPI Number Information
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NPI Number | 1104720820
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Entity Type | Organization
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Legal Business Name | STEPPING STONES BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 121 MCDANIEL ST
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City | TYRONZA
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State | AR
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Zip | 72386-2007
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Country | US
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Telephone | 402-612-4170
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Fax |
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Provider Business Mailing Address
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Address Line | 121 MCDANIEL ST
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City | TYRONZA
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State | AR
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Zip | 72386-2007
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Country | US
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Telephone | 402-612-4170
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE ADMINISTRATOR
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Name | CHRISTOPHER LYNN MARSHALL
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Credential |
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Telephone | 402-612-4170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State | NULL
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