Provider Demographics
NPI:1174187868
Name:STEPPING STONE SERVICES, LLC
Entity Type:Organization
Organization Name:STEPPING STONE SERVICES, LLC
Other - Org Name:STEPPING STONE SERVICES INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TERENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:TABRON
Authorized Official - Suffix:
Authorized Official - Credentials:BA,QMHP
Authorized Official - Phone:704-960-6180
Mailing Address - Street 1:2720 WHITE OAK LN
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28083-7256
Mailing Address - Country:US
Mailing Address - Phone:704-960-6180
Mailing Address - Fax:
Practice Address - Street 1:512 W HORAH ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-4826
Practice Address - Country:US
Practice Address - Phone:704-870-8885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-28
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health