Healthcare Provider Details

I. General information

NPI: 1639096811
Provider Name (Legal Business Name): STILL GROUND COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 NOBLE CT
HAVELOCK NC
28532-0548
US

IV. Provider business mailing address

PO BOX 103
ARAPAHOE NC
28510-0103
US

V. Phone/Fax

Practice location:
  • Phone: 984-246-2856
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA SHOWN
Title or Position: THERAPIST AND PRACTICE OWNER
Credential: MA, LCMHCA
Phone: 503-704-5117