Healthcare Provider Details

I. General information

NPI: 1962371815
Provider Name (Legal Business Name): STILL RIVER COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11003 NORTHPOINTE BLVD STE B
TOMBALL TX
77375-2384
US

IV. Provider business mailing address

11003 NORTHPOINTE BLVD STE B
TOMBALL TX
77375-2384
US

V. Phone/Fax

Practice location:
  • Phone: 832-819-2685
  • Fax: 281-326-6415
Mailing address:
  • Phone: 832-819-2685
  • Fax: 281-326-6415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: JULIO CESAR RIOS
Title or Position: MANAGER
Credential: LPC
Phone: 832-819-2685