Provider Demographics
NPI:1033536206
Name:VALENCIA C AYERS
Entity Type:Organization
Organization Name:VALENCIA C AYERS
Other - Org Name:STEPPING STONES BEHAVIORAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:VALENCIA
Authorized Official - Middle Name:CAPRI
Authorized Official - Last Name:AYERS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:678-431-8953
Mailing Address - Street 1:3020 DEERBORNE CT SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-5587
Mailing Address - Country:US
Mailing Address - Phone:678-431-8953
Mailing Address - Fax:
Practice Address - Street 1:1470 BOGGS RD APT 1004
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-5839
Practice Address - Country:US
Practice Address - Phone:678-431-8953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007719251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health