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LIVING WATER PSYCHIATRY PLLC
NPI 1124860929
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Active since June 11, 2024
5940 S RAINBOW BLVD STE 400, LAS VEGAS, NV 89118(702) 854-6853(702) 758-7315 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Living Water Psychiatry Pllc NPPES

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

LIVING WATER PSYCHIATRY PLLC (NPI 1124860929) is a healthcare organization registered as a psychiatric/mental health in Las Vegas, Nevada and active in the NPI registry since June 2024. The organization lists Marjory Frederic, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124860929
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLIVING WATER PSYCHIATRY PLLC
Location Address5940 S RAINBOW BLVD STE 400Las Vegas, NV 89118-2507
Mailing Address5940 S Rainbow Blvd, Suite 400 #783517Las Vegas, NV 89118-2507 · (702) 854-6853 · Fax (702) 758-7317
Phone(702) 854-6853
Fax(702) 758-7315
Organization SubpartNo
Authorized OfficialMarjory FredericCeo · (702) 854-6853
Enumeration DateJune 11, 2024
NPPES CertifiedJune 11, 2024
✔ NPI 1124860929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
5940 S RAINBOW BLVD STE 400, Las Vegas, NV 89118
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

SONGBIRD HEALTH NV LLC
Behavior Analyst
5940 S RAINBOW BLVD STE 400
LAS VEGAS, NV 89118
Clark County (702) 891-4875
KATHERINE LYNN CARTER RDN, LD
Dietitian, Registered
5940 S RAINBOW BLVD STE 400
LAS VEGAS, NV 89118
Clark County (734) 255-1290
CARLA JENKINS DOULA
Doula
5940 S RAINBOW BLVD STE 400
LAS VEGAS, NV 89118
Clark County (773) 317-5177
LINDA AMPOFO LMFT
Marriage & Family Therapist
5940 S RAINBOW BLVD STE 400
LAS VEGAS, NV 89118
Clark County (702) 372-2450
MARJORY FREDERIC PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5940 S RAINBOW BLVD STE 400
LAS VEGAS, NV 89118
Clark County (702) 854-6853
MARIAH JEREMIAH MSW, LCSW
Social Worker (Clinical)
5940 S RAINBOW BLVD STE 400, PMB 81116
LAS VEGAS, NV 89118
Clark County (775) 375-5734
KYNAYDIA N NELSON
Counselor (Professional)
5940 S RAINBOW BLVD STE 400
LAS VEGAS, NV 89118
Clark County (702) 527-8032

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 Water Psychiatry PLLC's NPI number?

The NPI number for Living Water Psychiatry PLLC is 1124860929. It was assigned to this organization in the NPPES registry on June 11, 2024.

Where is Living Water Psychiatry PLLC located?

Living Water Psychiatry PLLC is located at 5940 S Rainbow Blvd Ste 400, Las Vegas, NV 89118. The listed phone number is (702) 854-6853.

What is Living Water Psychiatry PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Living Water Psychiatry PLLC was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.