Provider Demographics
NPI:1598652869
Name:STILL RIVERS COUNSELING LLC
Entity type:Organization
Organization Name:STILL RIVERS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHNOWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMHCC, LPCC
Authorized Official - Phone:330-421-8633
Mailing Address - Street 1:13325 TAMIAMI TRL UNIT C
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34287-2183
Mailing Address - Country:US
Mailing Address - Phone:330-421-8633
Mailing Address - Fax:
Practice Address - Street 1:13325 TAMIAMI TRL UNIT C
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34287-2183
Practice Address - Country:US
Practice Address - Phone:330-421-8633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STILL RIVERS COUNSELING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health