| Stillwater Therapy Llc | |
|
508 Commercial St Provincetown MA 02657-2439 | |
| (774) 643-0409 | |
| Not Available |
| Full Name | Stillwater Therapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 508 Commercial St, Provincetown, Massachusetts |
| Authorized Official Name and Position | Heather Diana Baker (OWNER) |
| Authorized Official Contact | 6176945511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwater Therapy Llc 508 Commercial St Provincetown MA 02657-2439 Ph: (774) 643-0409 | Stillwater Therapy Llc 508 Commercial St Provincetown MA 02657-2439 Ph: (774) 643-0409 |
| NPI Number | 1447113881 |
|---|---|
| Provider Enumeration Date | 12/03/2025 |
| Last Update Date | 12/03/2025 |
| Certification Date | 12/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447113881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Gaffney-livingstoneconsultation Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 522 Commercial St, Provincetown, MA 02657 Phone: 508-487-0455 Fax: 508-487-5435 |