| Stepstone Connect | |
|
190 W 100 S Ste B Bountiful UT 84010-6205 | |
| (801) 888-3843 | |
| (855) 437-8444 |
| Full Name | Stepstone Connect |
|---|---|
| Speciality | Clinic/Center |
| Location | 190 W 100 S Ste B, Bountiful, Utah |
| Authorized Official Name and Position | Sherryann Quindley (CEO) |
| Authorized Official Contact | 2026695662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stepstone Connect 190 W 100 S Ste B Bountiful UT 84010-6205 Ph: (801) 888-3843 | Stepstone Connect 190 W 100 S Ste B Bountiful UT 84010-6205 Ph: (801) 888-3843 |
| NPI Number | 1124536461 |
|---|---|
| Provider Enumeration Date | 01/22/2018 |
| Last Update Date | 06/06/2022 |
| Certification Date | 06/06/2022 |
| Medicare PECOS PAC ID | 6305252750 |
|---|---|
| Medicare Enrollment ID | O20210309002298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124536461 | NPI | - | NPPES |
| Provider Name | Michael Higgins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780038141 PECOS PAC ID: 9739413832 Enrollment ID: I20190624002025 |
| Provider Name | Thomas Allen Rayner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194008979 PECOS PAC ID: 0941533574 Enrollment ID: I20220808003003 |
| Provider Name | Audrey Gilliatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083739007 PECOS PAC ID: 2365673282 Enrollment ID: I20230113002052 |
| Provider Name | Eliza Ale-finks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164155933 PECOS PAC ID: 8123491479 Enrollment ID: I20230307001876 |
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