Healthcare Provider Details

I. General information

NPI: 1376472274
Provider Name (Legal Business Name): SITTING TOAD PSYCHOTHERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 LOWRY AVE UNIT B
DURHAM NC
27701-2656
US

IV. Provider business mailing address

102 BENNETT CT
DURHAM NC
27701-1401
US

V. Phone/Fax

Practice location:
  • Phone: 833-285-0222
  • Fax: 919-724-1454
Mailing address:
  • Phone: 919-724-1454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. PHILLIP STILLMAN
Title or Position: OWNER
Credential: LCSW
Phone: 919-724-1454