Living Waters Therapeutic Alliance

LBN: Living Waters Therapeutic Alliance
Living Waters Therapeutic Alliance is an health care organization with primary practice located at 2570 River Watch Dr , Suffolk VA 23434-8669. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Living Waters Therapeutic Alliance can be contacted via phone (757) 270-3976, or through Correll, Charlena Judith Catherine via phone (757) 405-7519.

Contact Information

Primary practice address
2570 River Watch Dr Suffolk VA 23434-8669
Phone: (757) 270-3976
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Correll, Charlena Judith Catherine LPC, LCMHC
Phone: (757) 405-7519

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1174207609
LBN Legal business name Living Waters Therapeutic Alliance
DBA Doing business as
Authorized official Correll, Charlena Judith Catherine LPC, LCMHC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2023
Last updated Jun 14th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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