MEDICARE: STEPPING STONES COUNSELING, 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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1194495044
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEPPING STONES COUNSELING, LLC

Provider Business Mailing Address
First Line	:	370 COURTHOUSE RD STE 102
Second Line	:
City	:	GULFPORT
State	:	MS
Zip	:	39507-1889
Country	:	US
Telephone Number	:	228-338-6769
Fax Number	:	228-265-7390

Provider Business Practice Location Address
First Line	:	370 COURTHOUSE RD STE 102
Second Line	:
City	:	GULFPORT
State	:	MS
Zip	:	39507-1889
Country	:	US
Telephone Number	:	228-563-4901
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JASMINE SMITH
Credential	:	ED.S., LPC, BC-TMH
Telephone Number	:	228-563-4901

Provider Enumeration Date	:	09/13/2021
Last Update Date	:	03/19/2026

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