Healthcare Provider Details

I. General information

NPI: 1265389373
Provider Name (Legal Business Name): STILL WATERS WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2712 W PARKWAY DR
SPOKANE WA
99208-6394
US

IV. Provider business mailing address

2712 W PARKWAY DR
SPOKANE WA
99208-6394
US

V. Phone/Fax

Practice location:
  • Phone: 509-425-3137
  • Fax:
Mailing address:
  • Phone: 509-425-3137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS E CUTTING
Title or Position: CO-OWNER/ MEMBER
Credential: PSYD
Phone: 509-437-0688