Organization
STAIRWAYS BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MARE ERNST (SUPERVISOR OF BILLING)
(814) 464-8311
Entity
Organization
Contact information
Practice address
2910 STATE ST, ERIE, PA 16508-1832
(814) 454-5686
(814) 454-8946
Mailing address
2185 W 8TH ST, ERIE, PA 16505-4747
(814) 464-8311
(814) 464-8462
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
405900
PA
101YP2500X
Professional Counselor
405900
PA
103G00000X
Clinical Neuropsychologist
405900
PA
104100000X
Social Worker
405900
PA
2084P0800X
Psychiatry Physician
405900
PA
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
405900
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
363A00000X
Physician Assistant
405900
PA
363AM0700X
Medical Physician Assistant
405900
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000063480008
—
PA
01
—
1601718
HIGHMARK BC BS
—
Enumeration date
06/02/2006
Last updated
10/03/2024
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