Organization · NPI-2
Carolyn Stillman Lcsw
Community/Behavioral Health · Longmont, CO
NPI number1437945557
StatusActive
Last updated in NPPESApr 16, 2025
Details
- NPI
- 1437945557
- Entity type
- Organization (NPI-2)
- Legal business name
- Carolyn Stillman Lcsw
- Organization subpart
- No
- Enumeration date
- Apr 16, 2025
- Certification date
- Apr 15, 2025
- Last updated
- Apr 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Practice location
1136 Venice StLongmont, CO 80501-3820
Phone 614-327-9761
Mailing address
1136 Venice StLongmont, CO 80501-3820
Phone 614-327-9761
Authorized official
Carolyn E Stillman
Owner/Therapiist
6143279761
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