| Stillwaters Counseling Of Sw Florida Pllc | |
|
1720 El Jobean Rd Unit 106 Port Charlotte FL 33948-1286 | |
| (941) 204-9038 | |
| (941) 240-0091 |
| Full Name | Stillwaters Counseling Of Sw Florida Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1720 El Jobean Rd Unit 106, Port Charlotte, Florida |
| Authorized Official Name and Position | Deborah Jean Leahy (MANAGER/OWNER) |
| Authorized Official Contact | 9412049038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwaters Counseling Of Sw Florida Pllc 1720 El Jobean Rd Unit 106 Port Charlotte FL 33948-1286 Ph: (941) 204-9038 | Stillwaters Counseling Of Sw Florida Pllc 1720 El Jobean Rd Unit 106 Port Charlotte FL 33948-1286 Ph: (941) 204-9038 |
| NPI Number | 1376140343 |
|---|---|
| Provider Enumeration Date | 10/02/2020 |
| Last Update Date | 11/07/2024 |
| Certification Date | 11/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376140343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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