| Living Waters Mental Health Llc | |
|
3939 Central Ave Columbus IN 47203-2044 | |
| (812) 372-3387 | |
| Not Available |
| Full Name | Living Waters Mental Health Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3939 Central Ave, Columbus, Indiana |
| Authorized Official Name and Position | Gwendolyn Mclaurine (OWNER) |
| Authorized Official Contact | 8123723387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Waters Mental Health Llc 3939 Central Ave Columbus IN 47203-2044 Ph: () - | Living Waters Mental Health Llc 3939 Central Ave Columbus IN 47203-2044 Ph: (812) 372-3387 |
| NPI Number | 1972382422 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 09/25/2023 |
| Certification Date | 09/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972382422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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