Stillwaters Counseling Llc

LBN: Stillwaters Counseling Llc
Stillwaters Counseling Llc is an health care organization with primary practice located at 1309 Camas St , Blackfoot ID 83221-3060. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Case Management. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Stillwaters Counseling Llc can be contacted via phone (208) 782-0675, or through Stephenson, John D via phone (208) 782-0675.

Contact Information

Primary practice address
1309 Camas St Blackfoot ID 83221-3060
Phone: (208) 782-0675
Fax: (208) 782-0678
Website:
Map and Directions
Authorized official contact:
Name: Stephenson, John D Licensed Clinical Social Worker (LCSW)
Phone: (208) 782-0675

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCSW-261187 Idaho
Agencies / Case Management 251B00000X LCSW-261187 Idaho

Profile Details

NPI number 1275638645
LBN Legal business name Stillwaters Counseling Llc
DBA Doing business as
Authorized official Stephenson, John D Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2006
Last updated Aug 4th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275638645 NPPES
Idaho MEDICAID 806939500

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