Provider Demographics
NPI:1205462348
Name:STILLPOINT INC
Entity type:Organization
Organization Name:STILLPOINT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:BICKING
Authorized Official - Suffix:
Authorized Official - Credentials:JP LCSW MPA CD/DONA
Authorized Official - Phone:860-650-1651
Mailing Address - Street 1:369 NORTH GRANBY ROAD
Mailing Address - Street 2:
Mailing Address - City:NORTH GRANBY
Mailing Address - State:CT
Mailing Address - Zip Code:06060
Mailing Address - Country:US
Mailing Address - Phone:860-650-1651
Mailing Address - Fax:
Practice Address - Street 1:369 NORTH GRANBY ROAD
Practice Address - Street 2:
Practice Address - City:NORTH GRANBY
Practice Address - State:CT
Practice Address - Zip Code:06060
Practice Address - Country:US
Practice Address - Phone:860-650-1651
Practice Address - Fax:860-413-0981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-20
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)