=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407638521
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STEPPING STONES BEHAVIORAL HEALTH SERVICES RPC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/16/2023
-----------------------------------------------------
Last Update Date | 12/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11014 GREENLEE RD
-----------------------------------------------------
City | WATERFORD
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16441-9378
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 814-732-0528
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1924 KEYSTONE DR # 1170
-----------------------------------------------------
City | ERIE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16509-7702
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 814-882-3729
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BEHAVIORAL SPECIALIST
-----------------------------------------------------
Name | JESSICA CRAIG
-----------------------------------------------------
Credential | MA, LBS
-----------------------------------------------------
Telephone | 814-822-3729
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------