Healthcare Provider Details
I. General information
NPI: 1568381788
Provider Name (Legal Business Name): STILLWATER THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/13/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2423 SCHILLINGER RD S STE 110
MOBILE AL
36695-4142
US
IV. Provider business mailing address
2423 SCHILLINGER RD S STE 110
MOBILE AL
36695-4142
US
V. Phone/Fax
- Phone: 251-744-6860
- Fax: 251-276-6374
- Phone: 251-744-6860
- Fax: 251-276-6374
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
EMILY
LAWLER
Title or Position: THERAPIST
Credential: LICSW-PIP
Phone: 251-654-8997