Healthcare Provider Details

I. General information

NPI: 1205757861
Provider Name (Legal Business Name): STILL CARE FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11176 CARROLL DR
WALDORF MD
20601-2655
US

IV. Provider business mailing address

1284 ESTRIDGE DR
ROCKLEDGE FL
32955-2312
US

V. Phone/Fax

Practice location:
  • Phone: 321-427-0228
  • Fax:
Mailing address:
  • Phone: 321-427-0228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. CASSANDRA STUDSTILL
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 321-427-0228