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Organization
STILL WATERS HOLDINGS
Active
Organization
STILL WATERS HOLDINGS
Active
Other names
Still Waters Professional Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MEREDITH BOATWRIGHT (OWNER)
(765) 284-0043
Entity
Organization
Contact information
Practice address
3301 W PURDUE AVE, MUNCIE, IN 47304-6356
(765) 284-0043
(765) 284-4112
Mailing address
3301 W PURDUE AVE, MUNCIE, IN 47304-6356
(765) 284-0043
(765) 284-4112
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103TC1900X
Counseling Psychologist
20041828A
IN
103TC1900X
Counseling Psychologist
20041851A
IN
103TC1900X
Counseling Psychologist
20041894A
IN
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
35001519A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
740738000
MAGELLAN HEALTH SERVICES
IN
Enumeration date
06/28/2006
Last updated
01/14/2024
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