| Doctor Name: | MRS. ANDREA STILLWELL |
| NPI Number: | 1013085950 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | TX27539 |
| Business Practice Address: | 2301 Olympia Suite 100 Flower Mound, TX - 75028 |
| Business Phone Number: | 9403007986 |
| Business Fax Number: | |
| Mailing Address: | 1512 Nightingale Ln, CORINTH |
| State: | TX |
| Postal Code: | 762103100 |
| Phone Number: | 9403007986 |
| Fax Number: | |
| NPI Enumeration Date: | 11/30/2006 |
| NPI Last Update Date: | 09/14/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | TX27539 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |