Provider Demographics
NPI:1588342679
Name:STEPPING STONES WELLNESS, LLC
Entity type:Organization
Organization Name:STEPPING STONES WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BESOTES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:541-521-3431
Mailing Address - Street 1:25014 HALL RD
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:OR
Mailing Address - Zip Code:97419-9732
Mailing Address - Country:US
Mailing Address - Phone:541-521-3431
Mailing Address - Fax:
Practice Address - Street 1:25014 HALL RD
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:OR
Practice Address - Zip Code:97419-9732
Practice Address - Country:US
Practice Address - Phone:541-521-3431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-07
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Single Specialty