Provider Demographics
NPI:1821691585
Name:BE STILL COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:BE STILL COUNSELING SERVICES LLC
Other - Org Name:BE STILL COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:PHINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:207-370-9585
Mailing Address - Street 1:250 CENTER ST
Mailing Address - Street 2:STE 6 NUMBER 1018
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04210-6152
Mailing Address - Country:US
Mailing Address - Phone:207-370-9585
Mailing Address - Fax:
Practice Address - Street 1:293 BLUE RD
Practice Address - Street 2:
Practice Address - City:MONMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04259-6900
Practice Address - Country:US
Practice Address - Phone:207-370-9585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-17
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty