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NPI Code Detail

MEDICARE: THE STEPPING STONES GROUP, LLC

MEDICARE: THE STEPPING STONES GROUP, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2101YM0800XMental Health Counselor
3101YS0200XSchool Counselor
4103TC0700XClinical Psychologist
5103TS0200XSchool Psychologist
6104100000XSocial Worker
7251300000XLocal Education Agency (LEA)017300NY
8101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1013258185
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE STEPPING STONES GROUP, LLC
Provider Business Mailing Address
First Line : 184 HIGH ST
Second Line :
City : BOSTON
State : MA
Zip : 02110-3001
Country : US
Telephone Number : 805-915-9912
Fax Number :
Provider Business Practice Location Address
First Line : 1320 MAIN ST STE 300
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-3266
Country : US
Telephone Number : 803-769-8263
Fax Number :
Authorized Official
Title or Position : CCDO
Name : DOUGLAS RAYMOND MOES
Credential :
Telephone Number : 805-915-9912
Provider Enumeration Date : 03/13/2013
Last Update Date : 09/12/2022

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