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STILLWATER TELETHERAPY PLLC
NPI 1023979358
Counselor - Mental Health in Traverse City, MI

Active since November 18, 2025
10139 E GRANDVIEW RD, TRAVERSE CITY, MI 49684(989) 293-4927 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stillwater Teletherapy Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STILLWATER TELETHERAPY PLLC (NPI 1023979358) is a healthcare organization registered as a mental health in Traverse City, Michigan and active in the NPI registry since November 2025. The organization lists Mary Mummaw, Owner, as its authorized official.

NPPES Registry Identity

NPI1023979358
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSTILLWATER TELETHERAPY PLLC
Location Address10139 E GRANDVIEW RDTraverse City, MI 49684-5429
Mailing Address10139 E Grandview RdTraverse City, MI 49684-5429 · (989) 293-4927
Phone(989) 293-4927
Organization SubpartNo
Authorized OfficialMary MummawOwner · (989) 293-4927
Enumeration DateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1023979358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
10139 E GRANDVIEW RD, Traverse City, MI 49684
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY A MUMMAW LPC
Counselor (Mental Health)
10139 E GRANDVIEW RD
TRAVERSE CITY, MI 49684
Grand Traverse County (989) 293-4927

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stillwater Teletherapy PLLC's NPI number?

The NPI number for Stillwater Teletherapy PLLC is 1023979358. It was assigned to this organization in the NPPES registry on November 18, 2025.

Where is Stillwater Teletherapy PLLC located?

Stillwater Teletherapy PLLC is located at 10139 E Grandview Rd, Traverse City, MI 49684. The listed phone number is (989) 293-4927.

What is Stillwater Teletherapy PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Stillwater Teletherapy PLLC was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.