MEDICARE: STILLPOINT COLLECTIVE, LLC

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	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902756737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STILLPOINT COLLECTIVE, LLC

Provider Business Mailing Address
First Line	:	106 S FRANKLIN ST STE A2
Second Line	:
City	:	CHRISTIANSBURG
State	:	VA
Zip	:	24073-3547
Country	:	US
Telephone Number	:	540-392-5374
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 S FRANKLIN ST STE A2
Second Line	:
City	:	CHRISTIANSBURG
State	:	VA
Zip	:	24073-3547
Country	:	US
Telephone Number	:	540-392-5374
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SEASON ASHLEY CHILDRESS
Credential	:	LPC
Telephone Number	:	540-392-5374

Provider Enumeration Date	:	01/31/2026
Last Update Date	:	03/05/2026

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