Provider Demographics
NPI:1548921307
Name:STILLWATERS CONSULTING
Entity type:Organization
Organization Name:STILLWATERS CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:IBIYEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:OLUWABIYI
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:443-605-6331
Mailing Address - Street 1:7355 GRANITE WOODS CT
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-1655
Mailing Address - Country:US
Mailing Address - Phone:443-605-6331
Mailing Address - Fax:
Practice Address - Street 1:7355 GRANITE WOODS CT
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-1655
Practice Address - Country:US
Practice Address - Phone:443-605-6331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health