| Living Waters Trauma Institute, Llc | |
|
6130 Elton Ave Suite 201 Las Vegas NV 89107-2538 | |
| (702) 577-4118 | |
| (702) 216-6001 |
| Full Name | Living Waters Trauma Institute, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6130 Elton Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Christina Louise Sanford (FOUNDING CEO) |
| Authorized Official Contact | 7025774118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Waters Trauma Institute, Llc 5828 Maria Del Mar St Las Vegas NV 89130-7299 Ph: (702) 577-4118 | Living Waters Trauma Institute, Llc 6130 Elton Ave Suite 201 Las Vegas NV 89107-2538 Ph: (702) 577-4118 |
| NPI Number | 1780010876 |
|---|---|
| Provider Enumeration Date | 09/20/2013 |
| Last Update Date | 09/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780010876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5312-C (Nevada) | Primary |
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