Provider Demographics
NPI:1821608142
Name:STEPPING STONES TESTING & THERAPY SERVICES, PLLC
Entity Type:Organization
Organization Name:STEPPING STONES TESTING & THERAPY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:CYCILY
Authorized Official - Middle Name:RASHUN
Authorized Official - Last Name:DENMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:601-780-5112
Mailing Address - Street 1:39 ALFRED HOLMES RD
Mailing Address - Street 2:
Mailing Address - City:TYLERTOWN
Mailing Address - State:MS
Mailing Address - Zip Code:39667-6639
Mailing Address - Country:US
Mailing Address - Phone:601-780-5112
Mailing Address - Fax:
Practice Address - Street 1:420 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:MCCOMB
Practice Address - State:MS
Practice Address - Zip Code:39648-4021
Practice Address - Country:US
Practice Address - Phone:601-780-5112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty