Organization
HOUSE OF STILL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NECOLE DANIELLE MARTINEZ LCPC (PRESIDENT)
(202) 507-3713
Entity
Organization
Contact information
Practice address
5416 STONEY MEADOWS DRIVE, DISTRICT HEIGHTS, MD 20747
(202) 507-3713
Mailing address
5416 STONEY MEADOWS DR, DISTRICT HEIGHTS, MD 20747-3857
(202) 507-3713
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
LC6007
MD
261QM0850X
Adult Mental Health Clinic/Center
LC6007
MD
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
LC6007
MD
Other
Enumeration date
06/29/2017
Last updated
07/21/2022
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