Provider Demographics
NPI:1407727035
Name:SPRINGBOARD COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:SPRINGBOARD COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BILLING
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:STINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-694-9643
Mailing Address - Street 1:11445 E VIA LINDA STE 2-617
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-2655
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8105 E PLYMOUTH
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85207-9719
Practice Address - Country:US
Practice Address - Phone:480-470-6509
Practice Address - Fax:877-728-4298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility