| Living Water Counseling Llc | |
|
3522 Silverside Rd Ste 32 Wilmington DE 19810-4915 | |
| (443) 553-7317 | |
| Not Available |
| Full Name | Living Water Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 3522 Silverside Rd Ste 32, Wilmington, Delaware |
| Authorized Official Name and Position | Evelyn Cunliffe De Melker (OWNER) |
| Authorized Official Contact | 4435537317 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Water Counseling Llc 506 Counterpoint Cir Havre De Grace MD 21078-2691 Ph: (443) 553-7317 | Living Water Counseling Llc 3522 Silverside Rd Ste 32 Wilmington DE 19810-4915 Ph: (443) 553-7317 |
| NPI Number | 1508401258 |
|---|---|
| Provider Enumeration Date | 11/16/2019 |
| Last Update Date | 11/16/2019 |
| Medicare PECOS PAC ID | 5991158008 |
|---|---|
| Medicare Enrollment ID | O20240125000257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508401258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Evelyn Cunliffe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689072167 PECOS PAC ID: 2860845971 Enrollment ID: I20240125000634 |
| Provider Name | Mary Samuel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205584430 PECOS PAC ID: 1052764099 Enrollment ID: I20240126000157 |
| Provider Name | Carolyn Lehman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811532286 PECOS PAC ID: 9638522675 Enrollment ID: I20240126000351 |
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