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? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Single Specialty |