Organization
STILLWATER THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ELLLEN HOLMBERG (OWNER)
(813) 803-0961
Entity
Organization
Contact information
Practice address
2430 ESTANCIA BLVD STE 106, CLEARWATER, FL 33761-2607
(813) 803-0961
Mailing address
2430 ESTANCIA BLVD STE 106, CLEARWATER, FL 33761-2607
(813) 803-0961
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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