Provider Demographics
NPI:1952634511
Name:STILLPOINT COUNSELING AND CONSULTING
Entity Type:Organization
Organization Name:STILLPOINT COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:CECILE
Authorized Official - Last Name:BRENNAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPCC
Authorized Official - Phone:216-233-0879
Mailing Address - Street 1:20088 CENTER RIDGE RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ROCKY RIVER
Mailing Address - State:OH
Mailing Address - Zip Code:44116-3592
Mailing Address - Country:US
Mailing Address - Phone:216-233-0879
Mailing Address - Fax:
Practice Address - Street 1:20088 CENTER RIDGE RD
Practice Address - Street 2:SUITE 103
Practice Address - City:ROCKY RIVER
Practice Address - State:OH
Practice Address - Zip Code:44116-3592
Practice Address - Country:US
Practice Address - Phone:216-233-0879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-15
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0002806101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty