Provider Demographics
NPI:1699571554
Name:STILL WATERS COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:STILL WATERS COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:STELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-723-6845
Mailing Address - Street 1:313 CAMPGROUND RD
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:AR
Mailing Address - Zip Code:71655-8992
Mailing Address - Country:US
Mailing Address - Phone:870-723-6845
Mailing Address - Fax:
Practice Address - Street 1:407 W MCCLOY ST
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:AR
Practice Address - Zip Code:71655-4324
Practice Address - Country:US
Practice Address - Phone:870-723-6845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)