MEDICARE: SITTING TOAD PSYCHOTHERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1376472274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SITTING TOAD PSYCHOTHERAPY

Provider Business Mailing Address
First Line	:	102 BENNETT CT
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27701-1401
Country	:	US
Telephone Number	:	919-724-1454
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 LOWRY AVE UNIT B
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27701-2656
Country	:	US
Telephone Number	:	833-285-0222
Fax Number	:	919-724-1454

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PHILLIP STILLMAN
Credential	:	LCSW
Telephone Number	:	919-724-1454

Provider Enumeration Date	:	05/16/2026
Last Update Date	:	05/16/2026

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Directions to “SITTING TOAD PSYCHOTHERAPY ” Practice Location

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