Doctor Name: | SATCHEL PIERCE STILLWELL |
NPI Number: | 1851726251 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | B.A., M.A., LPC-I |
License Number: | 71276 |
Business Practice Address: | 181 Grand Ave Ste 230 Southlake, TX - 760927631 |
Business Phone Number: | 8177561440 |
Business Fax Number: | |
Mailing Address: | 1450 S White Chapel Blvd, SOUTHLAKE |
State: | TX |
Postal Code: | 760929306 |
Phone Number: | 8179178843 |
Fax Number: | |
NPI Enumeration Date: | 09/05/2013 |
NPI Last Update Date: | 09/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 71276 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |