| Still Water Professional Counseling, Llc | |
|
5100 Eastman Ave Ste 2 Midland MI 48640 | |
| (989) 832-0191 | |
| (989) 486-9413 |
| Full Name | Still Water Professional Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5100 Eastman Ave, Midland, Michigan |
| Authorized Official Name and Position | Paul R Boothroyd (SOLE MBR) |
| Authorized Official Contact | 9898320191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Still Water Professional Counseling, Llc 5100 Eastman Ave Ste 2 Midland MI 48640 Ph: (989) 832-0191 | Still Water Professional Counseling, Llc 5100 Eastman Ave Ste 2 Midland MI 48640 Ph: (989) 832-0191 |
| NPI Number | 1609381631 |
|---|---|
| Provider Enumeration Date | 12/13/2017 |
| Last Update Date | 12/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609381631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401013357 (Michigan) | Primary |
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