Provider Demographics
NPI:1861378341
Name:STILL WATERS CHRISTIAN COUNSELING
Entity type:Organization
Organization Name:STILL WATERS CHRISTIAN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:S
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:LSCSW, LCSW
Authorized Official - Phone:719-289-8743
Mailing Address - Street 1:3206 WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-1727
Mailing Address - Country:US
Mailing Address - Phone:719-289-8743
Mailing Address - Fax:785-734-0447
Practice Address - Street 1:205 E 7TH ST STE 154
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-4907
Practice Address - Country:US
Practice Address - Phone:785-734-0447
Practice Address - Fax:620-805-6933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No251B00000XAgenciesCase Management