| Stillwaters Behavioral Health, Llc | |
|
303 W Main St St Charles IL 60174-1843 | |
| (630) 587-5631 | |
| (630) 587-5631 |
| Full Name | Stillwaters Behavioral Health, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 303 W Main St, St Charles, Illinois |
| Authorized Official Name and Position | Laurie Lynn Riehm (CO-OWNER) |
| Authorized Official Contact | 6305875631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwaters Behavioral Health, Llc 303 W Main St St Charles IL 60174-1843 Ph: (630) 587-5631 | Stillwaters Behavioral Health, Llc 303 W Main St St Charles IL 60174-1843 Ph: (630) 587-5631 |
| NPI Number | 1841438801 |
|---|---|
| Provider Enumeration Date | 01/29/2009 |
| Last Update Date | 01/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841438801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149-005574 (Illinois) | Primary |
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