Provider Demographics
NPI:1952840357
Name:STEPPING STONES THERAPY, LLC
Entity Type:Organization
Organization Name:STEPPING STONES THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PIETZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA,CCC-SLP/L
Authorized Official - Phone:813-503-3386
Mailing Address - Street 1:9369 ASHLEY DR
Mailing Address - Street 2:
Mailing Address - City:WEEKI WACHEE
Mailing Address - State:FL
Mailing Address - Zip Code:34613-4256
Mailing Address - Country:US
Mailing Address - Phone:813-503-3386
Mailing Address - Fax:
Practice Address - Street 1:9369 ASHLEY DR
Practice Address - Street 2:
Practice Address - City:WEEKI WACHEE
Practice Address - State:FL
Practice Address - Zip Code:34613-4256
Practice Address - Country:US
Practice Address - Phone:813-503-3386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-17
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA10228235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL892378700Medicaid