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NPI Code Detail

MEDICARE: STILL WATERS WELLNESS LLC

MEDICARE: STILL WATERS WELLNESS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2103TC0700XClinical Psychologist
3106H00000XMarriage & Family Therapist
4261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1265389373
Entity Type Code : Organization
Provider Name (Legal Business Name) : STILL WATERS WELLNESS LLC
Provider Business Mailing Address
First Line : 10003 N DIVISION ST STE 205
Second Line :
City : SPOKANE
State : WA
Zip : 99218-1386
Country : US
Telephone Number : 509-991-4080
Fax Number :
Provider Business Practice Location Address
First Line : 10003 N DIVISION ST STE 205
Second Line :
City : SPOKANE
State : WA
Zip : 99218-1386
Country : US
Telephone Number : 509-991-4080
Fax Number :
Authorized Official
Title or Position : DOCTOR OF MARITAL & FAMILY THERAPY
Name : DR. TIFFANY CHYRENE M. CUTTING
Credential : DMFT, LMFT, LMHC
Telephone Number : 509-991-4080
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/23/2026

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Directions to “STILL WATERS WELLNESS LLC ” Practice Location

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