Provider Demographics
NPI:1992226740
Name:STEPPING STONE BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:STEPPING STONE BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:H
Authorized Official - Last Name:KIRBY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:804-709-4044
Mailing Address - Street 1:2872 E POINT DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-4125
Mailing Address - Country:US
Mailing Address - Phone:347-794-3761
Mailing Address - Fax:757-800-3274
Practice Address - Street 1:2872 E POINT DR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-4125
Practice Address - Country:US
Practice Address - Phone:347-794-3761
Practice Address - Fax:757-800-3274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-02
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty