Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stillwater Teletherapy PLLC

Organization Mental Health Counselor · NPI 1023979358

Stillwater Teletherapy PLLC is a Mental Health Counselor in Traverse City, Michigan. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10139 E Grandview Rd
Traverse City, MI 49684-5429
Phone: (989) 293-4927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1023979358
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Mummaw — Owner · (989) 293-4927
NPI enumeratedNovember 18, 2025
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025
Mailing address10139 E Grandview Rd, Traverse City, MI 49684-5429

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