Provider Demographics
NPI:1508652892
Name:STEPPING STONE MEDICAL AND PSYCHIATRY LLC
Entity type:Organization
Organization Name:STEPPING STONE MEDICAL AND PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF ENTITY
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:OFORI-YENTUMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-372-5758
Mailing Address - Street 1:4902 SILVER CREEK CT
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-2629
Mailing Address - Country:US
Mailing Address - Phone:513-372-5758
Mailing Address - Fax:513-572-9403
Practice Address - Street 1:8080 BECKETT CENTER DR STE 317
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-5041
Practice Address - Country:US
Practice Address - Phone:513-372-5758
Practice Address - Fax:513-572-9403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-15
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty