Provider Demographics
NPI:1770299752
Name:STEPPING STONE BEHAVIORAL HEALTH SERVICES
Entity type:Organization
Organization Name:STEPPING STONE BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER, BHT
Authorized Official - Prefix:
Authorized Official - First Name:NAXANDRA
Authorized Official - Middle Name:M
Authorized Official - Last Name:PAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-519-9465
Mailing Address - Street 1:270 E HUNT HWY STE 16 #317
Mailing Address - Street 2:
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85143
Mailing Address - Country:US
Mailing Address - Phone:520-519-9465
Mailing Address - Fax:
Practice Address - Street 1:4732 W LEMON AVE
Practice Address - Street 2:
Practice Address - City:COOLIDGE
Practice Address - State:AZ
Practice Address - Zip Code:85128-8276
Practice Address - Country:US
Practice Address - Phone:520-519-9465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-24
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness