MEDICARE: CAROL A STILWILL

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	101YP2500X	Professional Counselor	85961	TX
2	101YM0800X	Mental Health Counselor	85961	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	85961	OTHER	TX	LPC-A

General Provider Information

NPI Number	:	1497479273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL A STILWILL

Provider Business Mailing Address
First Line	:	1842 LOCKHILL SELMA RD STE 102
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78213-1559
Country	:	US
Telephone Number	:	210-254-3618
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 WINDVIEW DR
Second Line	:
City	:	BOERNE
State	:	TX
Zip	:	78006-7897
Country	:	US
Telephone Number	:	210-983-7004
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2022
Last Update Date	:	01/21/2026

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Directions to “ CAROL A STILWILL ” Practice Location

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