Individual provider · Type 1 NPI

Reid Stillwagoner

Mental Health Counselor · Southlake, TX

NPI number 1972456465 Active

Practice location

2435 E Southlake Blvd Ste 140
Southlake, TX 76092-6679

Call (972) 822-3014 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X101599 (TX)

Mental Health Counselor: Definition to come...

4 other providers at this address

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About NPI 1972456465

Reid Stillwagoner's National Provider Identifier is 1972456465, issued on Feb 16, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Southlake, TX. The record was last updated on Feb 16, 2026.