Provider Demographics
NPI:1982405346
Name:STEPPING UP MENTAL HEALTH, LLC
Entity type:Organization
Organization Name:STEPPING UP MENTAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ARNP
Authorized Official - Prefix:
Authorized Official - First Name:RACHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BANNING
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:620-255-9706
Mailing Address - Street 1:2707 COUNTRY ACRES DR
Mailing Address - Street 2:
Mailing Address - City:DODGE CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67801-8458
Mailing Address - Country:US
Mailing Address - Phone:620-255-9706
Mailing Address - Fax:
Practice Address - Street 1:2601 CENTRAL AVE STE LL22
Practice Address - Street 2:
Practice Address - City:DODGE CITY
Practice Address - State:KS
Practice Address - Zip Code:67801-6223
Practice Address - Country:US
Practice Address - Phone:620-255-9706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty