Healthcare Provider Details

I. General information

NPI: 1982564704
Provider Name (Legal Business Name): STILLWATER BEHAVIORAL HEALTH AND WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 SE CITY BEACH ST UNIT 2033
OAK HARBOR WA
98277-2987
US

IV. Provider business mailing address

1155 SE CITY BEACH ST UNIT 2033
OAK HARBOR WA
98277-2987
US

V. Phone/Fax

Practice location:
  • Phone: 360-320-6544
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE PERRINE
Title or Position: OWNER/PSYCHOTHERAPIST
Credential: LICSW
Phone: 360-320-6544