Provider Demographics
| NPI: | 1740986058 |
|---|---|
| Name: | STILLPOINT FAMILY COUNSELING SERVICES, APC |
| Entity type: | Organization |
| Organization Name: | STILLPOINT FAMILY COUNSELING SERVICES, APC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | VINCENT |
| Authorized Official - Middle Name: | LOUIS |
| Authorized Official - Last Name: | REDMOND |
| Authorized Official - Suffix: | JR |
| Authorized Official - Credentials: | LMFT |
| Authorized Official - Phone: | 714-319-8686 |
| Mailing Address - Street 1: | 101 S KRAEMER BLVD STE 130 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | PLACENTIA |
| Mailing Address - State: | CA |
| Mailing Address - Zip Code: | 92870-6100 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 714-223-7233 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 101 S KRAEMER BLVD STE 130 |
| Practice Address - Street 2: | |
| Practice Address - City: | PLACENTIA |
| Practice Address - State: | CA |
| Practice Address - Zip Code: | 92870-6100 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 714-223-7233 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2023-02-07 |
| Last Update Date: | 2023-02-07 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Multi-Specialty |