LIVING WATERS COUNSELING AND WELLNESS CENTER PLLC
NPI 1124762083
Counselor - Mental Health in Raleigh, NC

Active since April 26, 2022
4920 WINDY HILL DR STE 14B, RALEIGH, NC 27609(984) 212-4619(252) 600-0454 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2025, Apr 26, 2022 (2 updates tracked since 2022).

About Living Waters Counseling And Wellness Center Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVING WATERS COUNSELING AND WELLNESS CENTER PLLC (NPI 1124762083) is a healthcare organization registered as a mental health in Raleigh, North Carolina and active in the NPI registry since April 2022. The organization lists Amanda Mbata-graham, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1124762083
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameLIVING WATERS COUNSELING AND WELLNESS CENTER PLLC
Location Address4920 WINDY HILL DR STE 14BRaleigh, NC 27609-5193
Mailing Address3886 Little Creek Church RdClayton, NC 27520-9536
Fax(252) 600-0454
Organization SubpartNo
Authorized OfficialAmanda Mbata-grahamOwner/therapist · (919) 521-2057
Enumeration DateApril 26, 2022
Last NPPES UpdateMay 21, 20252 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
NPI 1124762083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
4920 WINDY HILL DR STE 14B, Raleigh, NC 27609

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
4920 WINDY HILL DR STE 14B
RALEIGH, NC 27609
Counselor (Mental Health)
4920 WINDY HILL DR STE 14B
RALEIGH, NC 27609

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Living Waters Counseling And Wellness Center PLLC's NPI number?

The NPI number for Living Waters Counseling And Wellness Center PLLC is 1124762083. It was assigned to this organization in the NPPES registry on April 26, 2022.

Where is Living Waters Counseling And Wellness Center PLLC located?

Living Waters Counseling And Wellness Center PLLC is located at 4920 Windy Hill Dr Ste 14B, Raleigh, NC 27609. The listed phone number is (984) 212-4619.

What is Living Waters Counseling And Wellness Center PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Living Waters Counseling And Wellness Center PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Living Waters Counseling And Wellness Center PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Living Waters Counseling And Wellness Center PLLC was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.