Provider Demographics
NPI:1003166737
Name:STEPPING STONE COUNSELING CENTRE, INC.
Entity Type:Organization
Organization Name:STEPPING STONE COUNSELING CENTRE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NIDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FELIBERTI
Authorized Official - Suffix:
Authorized Official - Credentials:LCWS
Authorized Official - Phone:407-348-0309
Mailing Address - Street 1:221 W CYPRESS ST
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-3311
Mailing Address - Country:US
Mailing Address - Phone:407-348-0309
Mailing Address - Fax:407-348-0309
Practice Address - Street 1:221 W CYPRESS ST
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-3311
Practice Address - Country:US
Practice Address - Phone:407-348-0309
Practice Address - Fax:407-348-0309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-10
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW3603251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management