LIVING WATERS YOUTH
NPI 1144194002
Counselor - Mental Health in Minneapolis, MN

Active since October 02, 2025
5701 SHINGLE CREEK PKWY, MINNEAPOLIS, MN 55430(612) 703-3313 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Living Waters Youth NPPES

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

LIVING WATERS YOUTH (NPI 1144194002) is a healthcare organization registered as a mental health in Minneapolis, Minnesota and active in the NPI registry since October 2025. The organization lists Tanneka Harrington, Ceo, as its authorized official.

NPPES Registry Identity

NPI1144194002
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameLIVING WATERS YOUTH
Location Address5701 SHINGLE CREEK PKWYMinneapolis, MN 55430-2467
Mailing Address3107 James Ave NMinneapolis, MN 55411-1243 · (612) 703-3313
Organization SubpartNo
Authorized OfficialTanneka HarringtonCeo · (612) 703-3313
Enumeration DateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
NPI 1144194002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5701 SHINGLE CREEK PKWY, Minneapolis, MN 55430

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 15

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

Registered Nurse
5701 SHINGLE CREEK PKWY
BROOKLYN CENTER, MN 55430
Respite Care
5701 SHINGLE CREEK PKWY, SUITE 350B
BROOKLYN CENTER, MN 55430
Non-emergency Medical Transport (VAN)
5701 SHINGLE CREEK PKWY, SUITE 650
BROOKLYN CENTER, MN 55430
Home Health
5701 SHINGLE CREEK PKWY
BROOKLYN CENTER, MN 55430
Non-emergency Medical Transport (VAN)
5701 SHINGLE CREEK PKWY, SUITE #318D
BROOKLYN CENTER, MN 55430
Durable Medical Equipment & Medical Supplies
5701 SHINGLE CREEK PKWY, SUITE 470
BROOKLYN CENTER, MN 55430
Behavior Analyst
5701 SHINGLE CREEK PKWY
BROOKLYN CENTER, MN 55430
Community/Behavioral Health
5701 SHINGLE CREEK PKWY, SUITE 550
BROOKLYN CENTER, MN 55430

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 Youth's NPI number?

The NPI number for Living Waters Youth is 1144194002. It was assigned to this organization in the NPPES registry on October 2, 2025.

Where is Living Waters Youth located?

Living Waters Youth is located at 5701 Shingle Creek Pkwy, Minneapolis, MN 55430. The listed phone number is (612) 703-3313.

What is Living Waters Youth's specialty?

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

When was this NPI record last updated?

The NPPES record for Living Waters Youth was last updated on October 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.