Provider Demographics
NPI:1295037729
Name:STEPPING STONES PROFESSIONAL COUNSELING, INC.
Entity type:Organization
Organization Name:STEPPING STONES PROFESSIONAL COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:850-226-6430
Mailing Address - Street 1:151 MARY ESTHER BLVD
Mailing Address - Street 2:SUITE 310-A
Mailing Address - City:MARY ESTHER
Mailing Address - State:FL
Mailing Address - Zip Code:32569-1974
Mailing Address - Country:US
Mailing Address - Phone:850-226-6430
Mailing Address - Fax:850-254-1986
Practice Address - Street 1:151 MARY ESTHER BLVD
Practice Address - Street 2:SUITE 310-A
Practice Address - City:MARY ESTHER
Practice Address - State:FL
Practice Address - Zip Code:32569-1974
Practice Address - Country:US
Practice Address - Phone:850-226-6430
Practice Address - Fax:850-254-1986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-04
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9469101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty