Organization Active NPI

Still Water Healing Center LLC

  • Adult Mental Health Clinic/Center
  • Fairfax, VA
National Provider Identifier
1740119825
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
STILL WATER HEALING CENTER LLC
Practice address
3251 Blenheim Blvd Ste 406&407
Fairfax, VA 22030-1504
Phone
(732) 455-2357
NPI assigned
May 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Anthony Hill
Title
Ceo
Phone
(732) 455-2357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

3251 Blenheim Blvd Ste 406&407
Fairfax, VA 22030-1504

Mailing address

3251 Blenheim Blvd Ste 406&407
Fairfax, VA 22030-1504

National Provider Directory

National Provider Directory

Locations

3251 Blenheim Blvd
Ste 406407
Fairfax, VA 22030
Phone (732) 455-2357

NPI Registry JSON

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

{
    "created_epoch": "1778803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1740119825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 BLENHEIM BLVD STE 406&407",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220301504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 BLENHEIM BLVD STE 406&407",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220301504",
            "telephone_number": "732-455-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WATER HEALING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-455-2357"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.