Provider Demographics
NPI:1972181824
Name:STEPPING STONES TO HEALING
Entity Type:Organization
Organization Name:STEPPING STONES TO HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIMBLE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:909-286-4553
Mailing Address - Street 1:8372 VIA CARRILLO
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-3222
Mailing Address - Country:US
Mailing Address - Phone:909-286-4553
Mailing Address - Fax:
Practice Address - Street 1:7365 CARNELIAN ST STE 231
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-1136
Practice Address - Country:US
Practice Address - Phone:909-286-4553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health