STILL WATERS REFUGE LLC NPI 1962210328

NPI Information

  • NPI: 1962210328
  • Provider Name: STILL WATERS REFUGE LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 1329 AMMON PARK DR
    AMMON, ID
    ZIP 83406
  • Phone: (208) 569-8599

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NPI Details

STILL WATERS REFUGE LLC is a professional counselor in Ammon, ID. STILL WATERS REFUGE LLC NPI is 1962210328. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1329 AMMON PARK DR
AMMON, ID
ZIP 83406-591
Phone: (208) 569-8599

The provider's authorized official is Shelby Whiting .
The authorized official title is Owner and has the following contact phone number (208) 569-8599.

The enumeration date for this NPI number is 12/18/2024 and was last updated on 12/18/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalYes

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: 11/21/2025

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