Stillwaters Counseling of SW Florida PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

STILLWATERS COUNSELING OF SW FLORIDA PLLC

Practice address

1720 El Jobean Rd Unit 106
Port Charlotte, FL 33948-1286

Phone

(941) 204-9038

Fax

(941) 240-0091

NPI assigned

Oct 2, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deborah Jean Leahy, LMHCNPI 1891269866

Title

Manager/Owner

Phone

(941) 204-9038

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah Jean Leahy, R.N., L.M.H.C.

  • Mental Health Counselor
  • Port Charlotte, FL
  • NPI 1891269866
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1376140343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 EL JOBEAN RD UNIT 106",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481286",
            "telephone_number": "941-204-9038",
            "fax_number": "941-240-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 EL JOBEAN RD UNIT 106",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481286",
            "telephone_number": "941-204-9038",
            "fax_number": "941-240-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATERS COUNSELING OF SW FLORIDA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-02",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "LEAHY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "941-204-9038",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Stevens, HAS
• Grant Edward Stevens, HIS
• Theresa Stevens, HIS
• Troy Stevens
• Ashleigh Taylor Still, APRN, FNP-BC
• Stacey Stinger, ARNP
• Alexander Stoddard, DMD
• James E. Stone, M.D.
• Tracy L Stone, L.M.T
• Story Family Medicine

• Mental Health Counselor in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.