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Contact Information

STILLWATER TELEHEALTH THERAPY, LLC
115 SOUTH STREET
SECRETARY, MD21664
 Phone: 443-521-3660
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for STILLWATER TELEHEALTH THERAPY, LLC

NPI # 1093663650
LBN Legal business name STILLWATER TELEHEALTH THERAPY, LLC
Authorized official SHERRI JOHNSON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/19/2026
Last updated 03/21/2026 - About 3 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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