Provider Demographics
NPI:1447048855
Name:STILL WATERS CENTER FOR COUNSELING, PLLC
Entity type:Organization
Organization Name:STILL WATERS CENTER FOR COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:331-207-0812
Mailing Address - Street 1:848 W BARTLETT RD STE 13E
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:IL
Mailing Address - Zip Code:60103-4493
Mailing Address - Country:US
Mailing Address - Phone:331-207-0812
Mailing Address - Fax:
Practice Address - Street 1:848 W BARTLETT RD STE 13E
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:IL
Practice Address - Zip Code:60103-4493
Practice Address - Country:US
Practice Address - Phone:331-207-0812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-26
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty