Provider Demographics
NPI:1801492509
Name:STILL WATERS COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:STILL WATERS COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEEGAN
Authorized Official - Middle Name:FAY
Authorized Official - Last Name:HARP
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:541-786-8631
Mailing Address - Street 1:5200 MEADOWS RD STE 200
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-0086
Mailing Address - Country:US
Mailing Address - Phone:541-975-3868
Mailing Address - Fax:503-300-2809
Practice Address - Street 1:5200 MEADOWS RD STE 200
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-0086
Practice Address - Country:US
Practice Address - Phone:541-975-3868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-08
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty