Provider Demographics
NPI:1417186792
Name:STEPPING STONES THERAPEUTICS, LLC
Entity type:Organization
Organization Name:STEPPING STONES THERAPEUTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SNIPES
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:864-982-0607
Mailing Address - Street 1:129 VERDAE CREST DRIVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-3961
Mailing Address - Country:US
Mailing Address - Phone:864-982-0607
Mailing Address - Fax:864-420-5050
Practice Address - Street 1:129 VERDAE CREST DRIVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-3961
Practice Address - Country:US
Practice Address - Phone:864-982-0607
Practice Address - Fax:864-420-5050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-08
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP5205Medicaid