Provider Demographics
NPI:1821887381
Name:STILL WATERS COUNSELING,LLC
Entity type:Organization
Organization Name:STILL WATERS COUNSELING,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DE BRUIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-216-9116
Mailing Address - Street 1:609 S CLOUDAS AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57103-2419
Mailing Address - Country:US
Mailing Address - Phone:605-216-9116
Mailing Address - Fax:
Practice Address - Street 1:7520 S GRAND ARBOR CT STE 136
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-3456
Practice Address - Country:US
Practice Address - Phone:605-216-9116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health