Provider Demographics
NPI:1720482722
Name:STEPPING STONES COUNSELING SERVICE
Entity Type:Organization
Organization Name:STEPPING STONES COUNSELING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MORRISA
Authorized Official - Middle Name:J
Authorized Official - Last Name:VANDYKE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:719-464-4710
Mailing Address - Street 1:125 N PARKSIDE DR STE 301F
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-7028
Mailing Address - Country:US
Mailing Address - Phone:719-464-4710
Mailing Address - Fax:
Practice Address - Street 1:125 N PARKSIDE DR STE 301F
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-7028
Practice Address - Country:US
Practice Address - Phone:719-464-4710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-20
Last Update Date:2016-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0006093251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health