STILLWATERS COUNSELING, LLC (NPI# 1265846000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265846000 |
| Entity Type | Organization |
| Organization Name | STILLWATERS COUNSELING, LLC |
| Practice Address |
425 East Hollywood Boulevard Building C, Suite #c5 Mary Esther FL 32569 |
| Mailing Address |
425 East Hollywood Boulevard Building C, Suite #5 Mary Esther FL 32569 |
| Practice Telephone | 8503013525 |
| Practice Fax Number | 8503013525 |
| Mailing Telephone | 8503013525 |
| Mailing Fax Number | 8503013525 |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-06-19 |
| Authorized Official Name | MS. KATHERINE IRENE FRECHETTE (OWNER/MANAGER) |
| Authorized Official Telephone | 8503013525 |
| Authorized Official Credential | LMHC, LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MH4823 | FL | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | MT2651 | FL | Behavioral Health & Social Service Providers |
| Street Address |
425 EAST HOLLYWOOD BOULEVARD BUILDING C, SUITE #C5 |
| City | MARY ESTHER |
| State | FL |
| Zip Code | 32569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174132252 | Myra Jean Luna | Behavior Technician | 140 Cristobal Road N, Suite 501, Mary Esther, FL 32569 | 2020-07-24 |
| 1780242982 | Florida Kids Ppec, LLC | Skilled Nursing Facility | 5 E. Lane Dr., Units A/b, Mary Esther, FL 32569 | 2019-06-03 |
| 1730604695 | Camille Martinez | Behavior Technician | 116 Fourth St Se Unit #c, Fort Walton Beach, FL 32569 | 2017-08-11 |
| 1649562729 | Elizabeth Ann Hutchinson | Nurse Practitioner | 151 Mary Esther Blvd # 301, Mary Esther, FL 32569 | 2011-05-09 |
| 1215237789 | Nekita Antionette Robinson | Licensed Practical Nurse | 24 Solar Street, Mary Esther, FL 32569 | 2010-10-29 |
| 1538395587 | Angela Marie Meadows | Nurse Practitioner | 151 Mary Esther Blvd Ste 403a, Mary Esther, FL 32569 | 2009-06-04 |
| 1891939831 | Tamara Fought Bertrand | Massage Therapist | 151 Mary Ester Blvd, Suite 309b, Apo, AP 32569 | 2009-04-21 |
| 1083705651 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 300 Mary Esther Cutoff, Mary Esther, FL 32569 | 2006-09-27 |
| 1467823922 | Ashley Rydzewski Hall | Pharmacist | 250 E Miracle Strip Pkwy, Mary Esther, FL 32569 | 2015-10-09 |
| 1790929917 | Panhandle Hearing Centers, Inc. | Hearing Instrument Specialist | 300 Mary Esther Blvd, Sears Miracle Ear - Santa Rosa Mall, Mary Esther, FL 32569 | 2009-05-01 |
| Find all providers in zip 32569 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548365 | New Leaf Therapy, LLC | Marriage & Family Therapist | 2331 Nw 69th Ct, Fort Lauderdale, FL 33309-1438 | 2020-11-05 |
| 1114528460 | Matthew Edward Winkles | Marriage & Family Therapist | 1215 E Robinson St, Orlando, FL 32801-2115 | 2020-11-03 |
| 1114526670 | Westside Therapy | Marriage & Family Therapist | 4313 Golfers Cir E, Palm Beach Gardens, FL 33410-4609 | 2020-10-25 |
| 1356940811 | Alexandra Weisz | Marriage & Family Therapist | 3451 Ne 1st Ave Apt M201, Miami, FL 33137-4052 | 2020-10-25 |
| 1093314692 | Rothschild Counseling and Consulting, LLC | Marriage & Family Therapist | 820 E. Park Ave, Suite F 100, Tallahassee, FL 32301 | 2020-10-23 |
| 1831797729 | Becky Aaland | Marriage & Family Therapist | 600 Starkey Rd Apt 1307, Largo, FL 33771-2852 | 2020-10-13 |
| 1275149148 | Ebony Blue-fields | Marriage & Family Therapist | 2933 Nw 170th St, Miami Gardens, FL 33056-4323 | 2020-09-16 |
| 1003420118 | Gisela Karina Ludman Rojzman | Marriage & Family Therapist | 2542 Ne 206th Ter, Miami, FL 33180-1347 | 2020-09-04 |
| 1881208304 | Zuwania Lynette Smith | Marriage & Family Therapist | 2312 Mayo St, Hollywood, FL 33020-6240 | 2020-09-02 |
| 1699388892 | Damon Pourtahmaseb-sasi | Marriage & Family Therapist | 761 Ne 199th St Apt 204, Miami, FL 33179-3067 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | MARY ESTHER |
| Zip Code | 32569 |
Please comment or provide details below to improve the information on STILLWATERS COUNSELING, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.