# STILL WATERS THERAPY, MARRIAGE AND FAMILY COUNSELING, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Still Waters Therapy, Marriage and Family Counseling, PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487337432
- **Authorized official:** MAKELA NICOLE MIMS LMFT (OWNER)
- **Authorized official phone:** (916) 579-7145

## Contact information

- **Practice address:** 9401 E STOCKTON BLVD STE 115, ELK GROVE, CA 95624-5050
- **Practice address phone:** (916) 579-7145
- **Practice address fax:** (916) 581-8694
- **Mailing address:** 9401 E STOCKTON BLVD STE 115, ELK GROVE, CA 95624-5050
- **Mailing address phone:** (916) 579-7145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2023
- **Last updated:** 08/08/2023