| Stepping Stone Behavioral Health Llc | |
|
2872 E Point Dr Chesapeake VA 23321-4125 | |
| (347) 794-3761 | |
| (757) 800-3274 |
| Full Name | Stepping Stone Behavioral Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2872 E Point Dr, Chesapeake, Virginia |
| Authorized Official Name and Position | Amber H Kirby (MANAGING MEMBER) |
| Authorized Official Contact | 8047094044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stepping Stone Behavioral Health Llc 2872 E Point Dr Chesapeake VA 23321-4125 Ph: (347) 794-3761 | Stepping Stone Behavioral Health Llc 2872 E Point Dr Chesapeake VA 23321-4125 Ph: (347) 794-3761 |
| NPI Number | 1992226740 |
|---|---|
| Provider Enumeration Date | 07/02/2017 |
| Last Update Date | 10/25/2023 |
| Certification Date | 10/25/2023 |
| Medicare PECOS PAC ID | 7012283195 |
|---|---|
| Medicare Enrollment ID | O20171017001905 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992226740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Geranameo Vladmire Bullock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275821340 PECOS PAC ID: 8022258920 Enrollment ID: I20160301002216 |
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