Provider Demographics
NPI: | 1740986058 |
---|---|
Name: | STILLPOINT FAMILY COUNSELING SERVICES, APC |
Entity type: | Organization |
Organization Name: | STILLPOINT FAMILY COUNSELING SERVICES, APC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | VINCENT |
Authorized Official - Middle Name: | LOUIS |
Authorized Official - Last Name: | REDMOND |
Authorized Official - Suffix: | JR |
Authorized Official - Credentials: | LMFT |
Authorized Official - Phone: | 714-319-8686 |
Mailing Address - Street 1: | 101 S KRAEMER BLVD STE 130 |
Mailing Address - Street 2: | |
Mailing Address - City: | PLACENTIA |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 92870-6100 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 714-223-7233 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 101 S KRAEMER BLVD STE 130 |
Practice Address - Street 2: | |
Practice Address - City: | PLACENTIA |
Practice Address - State: | CA |
Practice Address - Zip Code: | 92870-6100 |
Practice Address - Country: | US |
Practice Address - Phone: | 714-223-7233 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-02-07 |
Last Update Date: | 2023-02-07 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Multi-Specialty |