Provider Demographics
NPI:1629645767
Name:STONE, STEPHEN DON I (CADC)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:DON
Last Name:STONE
Suffix:I
Gender:M
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 LONGLEAF CT
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-7914
Mailing Address - Country:US
Mailing Address - Phone:523-275-2932
Mailing Address - Fax:
Practice Address - Street 1:12 LAFAYETTE PL STE D
Practice Address - Street 2:
Practice Address - City:HILTON HEAD
Practice Address - State:SC
Practice Address - Zip Code:29926-2203
Practice Address - Country:US
Practice Address - Phone:912-662-6119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-08
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1697101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)