Steppenstone Youth Treatment Services | |
110 Steppenstone Blvd Limestone TN 37681-2740 | |
(423) 257-6054 | |
(423) 257-6975 |
Full Name | Steppenstone Youth Treatment Services |
---|---|
Speciality | Counselor - Mental Health |
Location | 110 Steppenstone Blvd, Limestone, Tennessee |
Authorized Official Name and Position | Laura Marlene Newsome (ADMINISTRATIVE EXECUTIVE ASSISTANT) |
Authorized Official Contact | 4232577555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Steppenstone Youth Treatment Services Po Box 278 Limestone TN 37681-0278 Ph: (423) 257-6054 | Steppenstone Youth Treatment Services 110 Steppenstone Blvd Limestone TN 37681-2740 Ph: (423) 257-6054 |
NPI Number | 1316035157 |
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Provider Enumeration Date | 10/10/2006 |
Last Update Date | 03/02/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316035157 | NPI | - | NPPES |
1503148 | Medicaid | TN | |
007703716 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | PE0000001390 (Tennessee) | Primary |