Living Waters Therapeutic Alliance | |
2570 River Watch Dr Suffolk VA 23434-8669 | |
(757) 270-3976 | |
Not Available |
Full Name | Living Waters Therapeutic Alliance |
---|---|
Speciality | Counselor - Mental Health |
Location | 2570 River Watch Dr, Suffolk, Virginia |
Authorized Official Name and Position | Charlena Judith Catherine Correll (DIRECTOR) |
Authorized Official Contact | 7574057519 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Living Waters Therapeutic Alliance 2570 River Watch Dr Suffolk VA 23434-8669 Ph: (757) 270-3976 | Living Waters Therapeutic Alliance 2570 River Watch Dr Suffolk VA 23434-8669 Ph: (757) 270-3976 |
NPI Number | 1174207609 |
---|---|
Provider Enumeration Date | 06/14/2023 |
Last Update Date | 06/14/2023 |
Certification Date | 06/14/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174207609 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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