Provider Demographics
NPI:1790194538
Name:STILLPOINT COUNSELING
Entity type:Organization
Organization Name:STILLPOINT COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOOZH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-496-6772
Mailing Address - Street 1:259 ARCH STREET
Mailing Address - Street 2:UNIT B
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94132
Mailing Address - Country:US
Mailing Address - Phone:415-412-1416
Mailing Address - Fax:
Practice Address - Street 1:259 ARCH STREET
Practice Address - Street 2:UNIT B
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94132
Practice Address - Country:US
Practice Address - Phone:415-412-1416
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-06
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health