Provider Demographics
NPI:1205600400
Name:STEPPING STONE SERVICES, LLC
Entity type:Organization
Organization Name:STEPPING STONE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TERENCE
Authorized Official - Middle Name:LAJAUNE
Authorized Official - Last Name:TABRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-960-6180
Mailing Address - Street 1:PO BOX 2452
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28145-2452
Mailing Address - Country:US
Mailing Address - Phone:704-960-6180
Mailing Address - Fax:
Practice Address - Street 1:612 N FULTON ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-3438
Practice Address - Country:US
Practice Address - Phone:704-960-6180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STEPPING STONE SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-11-08
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health