| Still Waters Counseling Services, Pllc | |
|
4481 Ash Grove Dr Ste B Springfield IL 62711-6359 | |
| (309) 270-3848 | |
| Not Available |
| Full Name | Still Waters Counseling Services, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4481 Ash Grove Dr Ste B, Springfield, Illinois |
| Authorized Official Name and Position | Keilyn Ariana Goatley (THERAPIST, OWNER) |
| Authorized Official Contact | 2175534120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Still Waters Counseling Services, Pllc 4481 Ash Grove Dr Ste B Springfield IL 62711-6359 Ph: (309) 270-3848 | Still Waters Counseling Services, Pllc 4481 Ash Grove Dr Ste B Springfield IL 62711-6359 Ph: (309) 270-3848 |
| NPI Number | 1528841525 |
|---|---|
| Provider Enumeration Date | 08/15/2023 |
| Last Update Date | 08/15/2023 |
| Certification Date | 08/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528841525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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