| Still Waters Counseling, Llc | |
|
6055 Tain Dr Ste 200 Dublin OH 43017-8449 | |
| (419) 680-2423 | |
| Not Available |
| Full Name | Still Waters Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 6055 Tain Dr Ste 200, Dublin, Ohio |
| Authorized Official Name and Position | Stacy Miller (OWNER) |
| Authorized Official Contact | 4196802423 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Still Waters Counseling, Llc 6055 Tain Dr Ste 200 Dublin OH 43017-8449 Ph: () - | Still Waters Counseling, Llc 6055 Tain Dr Ste 200 Dublin OH 43017-8449 Ph: (419) 680-2423 |
| NPI Number | 1235721051 |
|---|---|
| Provider Enumeration Date | 02/04/2021 |
| Last Update Date | 02/04/2021 |
| Certification Date | 02/04/2021 |
| Medicare PECOS PAC ID | 2365802519 |
|---|---|
| Medicare Enrollment ID | O20230719001650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235721051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Katelyn Audia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356825038 PECOS PAC ID: 4385020726 Enrollment ID: I20221007001556 |
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