Organization Name: | STILL WATERS COUNSELING, INC |
NPI Number: | 1861664476 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BETH ELAINE BRANNON (THERAPIST) |
Mailing Address: | 298 Praley St Nw Valdese |
State: | NC US |
Postal Code: | 286902700 |
Phone Number: | 8286128064 |
Fax Number: | |
NPI Enumeration Date: | 03/24/2008 |
NPI Last Update Date: | 03/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 5070 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |