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STILL WATERS HOLDINGS NPI 1730116187


NPI Information

NPI: 1730116187
Provider Name: STILL WATERS HOLDINGS

Doing Business As: STILL WATERS PROFESSIONAL COUNSELING

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3301 W PURDUE AVE
MUNCIE, IN
ZIP 47304
Phone: (765) 284-0043
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STILL WATERS HOLDINGS is a mental health counselor in Muncie, IN. STILL WATERS HOLDINGS NPI is 1730116187. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Still Waters Professional Counseling.

The provider's business location address is:

3301 W PURDUE AVE
MUNCIE, IN
ZIP 47304-356
Phone: (765) 284-0043
Fax: (765) 284-4112

The provider's authorized official is Meredith Boatwright .
The authorized official title is Owner and has the following contact phone number (765) 284-0043.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 1/14/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalNo
2103TC1900XPsychologistCounseling20041894AINDIANANo
3103TC1900XPsychologistCounseling20041851AINDIANANo
4103TC1900XPsychologistCounseling20041828AINDIANANo
5103TC1900XPsychologistCounselingNo
6104100000XSocial WorkerNo
71041C0700XSocial WorkerClinicalNo
8106H00000XMarriage & Family Therapist35001519AINDIANANo
9106H00000XMarriage & Family TherapistNo
10101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1740738000OTHERINDIANAMAGELLAN HEALTH SERVICES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.