Provider Demographics
NPI:1366183139
Name:STILL PSYCHIATRY PLLC
Entity type:Organization
Organization Name:STILL PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BENE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANEKE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:516-445-2227
Mailing Address - Street 1:3501 JEPSEN DR APT 3308
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76177-2383
Mailing Address - Country:US
Mailing Address - Phone:516-445-2227
Mailing Address - Fax:
Practice Address - Street 1:2131 KIRKWOOD BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-1540
Practice Address - Country:US
Practice Address - Phone:817-251-4906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty