Provider Demographics
NPI:1790255735
Name:STEPPINGSTONES COUNSELING LLC
Entity Type:Organization
Organization Name:STEPPINGSTONES COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAVERNA
Authorized Official - Middle Name:H
Authorized Official - Last Name:SPAIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:253-549-9371
Mailing Address - Street 1:1937 S G ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-4333
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8404 83RD AVE SW STE F
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98498-6078
Practice Address - Country:US
Practice Address - Phone:253-345-4281
Practice Address - Fax:253-302-5989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-03
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty