Provider Demographics
NPI:1992843452
Name:STILLPOINT CENTER FOR INTEGRATIVE THERAPIES, INC
Entity Type:Organization
Organization Name:STILLPOINT CENTER FOR INTEGRATIVE THERAPIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:336-768-3900
Mailing Address - Street 1:1100 EBERT ST
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-4412
Mailing Address - Country:US
Mailing Address - Phone:336-768-3900
Mailing Address - Fax:
Practice Address - Street 1:915 W 4TH ST
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-2517
Practice Address - Country:US
Practice Address - Phone:336-768-3900
Practice Address - Fax:336-750-0073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2065101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty