Provider Demographics
NPI:1700300910
Name:STEPPING STONES TO SUCCESS, LLC
Entity Type:Organization
Organization Name:STEPPING STONES TO SUCCESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KEYANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PETERS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:256-343-4080
Mailing Address - Street 1:1525 LEIGHTON AVE STE B
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-3805
Mailing Address - Country:US
Mailing Address - Phone:256-343-4080
Mailing Address - Fax:256-343-4080
Practice Address - Street 1:1525 LEIGHTON AVE STE B
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207
Practice Address - Country:US
Practice Address - Phone:256-343-4080
Practice Address - Fax:256-937-7063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-29
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3451251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health