Organization
STILL WATERS MENTAL HEALTH SERVICES, LLC
Active
Other names
Still Waters Family Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY J. SHAW CRNP (OWNER)
(814) 205-4025
Entity
Organization
Contact information
Practice address
216 N 2ND ST STE 5, CLEARFIELD, PA 16830-2547
(814) 205-4025
Mailing address
216 N 2ND ST STE 5, CLEARFIELD, PA 16830-2547
(814) 205-4025
(814) 240-6632
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103371103
—
PA
Enumeration date
04/21/2020
Last updated
04/05/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us