Organization
STILL WATERS PSYCHIATRIC AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN PAGOADA PMHNP-BC (TITLE MGR)
(985) 774-1497
Entity
Organization
Contact information
Practice address
5004 PRETTY WAY, PANAMA CITY, FL 32404-3089
(985) 774-1497
Mailing address
4609 LINDSEY CROSSING, PMB 222, PANAMA CITY, FL 32404
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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