Provider Demographics
NPI:1871058099
Name:STILL WATER SPRINGS
Entity type:Organization
Organization Name:STILL WATER SPRINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY THERAPIST / OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:J
Authorized Official - Last Name:MARINTEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:361-703-7103
Mailing Address - Street 1:103 CALLE RICARDO
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904-1203
Mailing Address - Country:US
Mailing Address - Phone:361-703-7103
Mailing Address - Fax:
Practice Address - Street 1:103 EAST AIRLINE ROAD
Practice Address - Street 2:SUITE 3
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901
Practice Address - Country:US
Practice Address - Phone:361-703-7103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-01
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty