Provider Demographics
NPI:1487803227
Name:STEPPING STONE FAMILY SERVICES, INC.
Entity type:Organization
Organization Name:STEPPING STONE FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TAQUISA
Authorized Official - Middle Name:KATINA
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW,CSAC,CSOTP
Authorized Official - Phone:757-673-8117
Mailing Address - Street 1:212 RESEARCH DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-5984
Mailing Address - Country:US
Mailing Address - Phone:757-673-8117
Mailing Address - Fax:757-673-8127
Practice Address - Street 1:212 RESEARCH DR
Practice Address - Street 2:SUITE 102
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-5984
Practice Address - Country:US
Practice Address - Phone:757-673-8117
Practice Address - Fax:757-673-8127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility