LIVING WATERS THERAPEUTIC ALLIANCE INC
NPI 1174207609
Counselor - Mental Health in Suffolk, VA

Q: What is Living Waters Therapeutic Alliance Inc's specialty?

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

Active since June 14, 2023

2570 RIVER WATCH DR, SUFFOLK, VA 23434(757) 270-3976 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 2, 2024, Jun 14, 2023 (2 updates tracked since 2023).

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About Living Waters Therapeutic Alliance Inc NPPES

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

LIVING WATERS THERAPEUTIC ALLIANCE INC (NPI 1174207609) is a healthcare organization registered as a mental health in Suffolk, Virginia and active in the NPI registry since June 2023. The organization lists Charlena Judith Catherine Correll, Director, as its authorized official.

NPPES Registry Identity

NPI1174207609

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameLIVING WATERS THERAPEUTIC ALLIANCE INC

Location Address2570 RIVER WATCH DRSuffolk, VA 23434-8669

Mailing Address2570 River Watch DrSuffolk, VA 23434-8669 · (757) 270-3976

Phone(757) 270-3976

Organization SubpartNo

Authorized OfficialCharlena Judith Catherine CorrellDirector · (757) 405-7519

Enumeration DateJune 14, 2023

Last NPPES UpdateDecember 2, 20242 updates tracked since enumeration

NPPES CertifiedDecember 2, 2024

✔ NPI 1174207609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

2570 RIVER WATCH DR, Suffolk, VA 23434

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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

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 Therapeutic Alliance Inc's NPI number?

The NPI number for Living Waters Therapeutic Alliance Inc is 1174207609. It was assigned to this organization in the NPPES registry on June 14, 2023.

Where is Living Waters Therapeutic Alliance Inc located?

Living Waters Therapeutic Alliance Inc is located at 2570 River Watch Dr, Suffolk, VA 23434. The listed phone number is (757) 270-3976.

What is Living Waters Therapeutic Alliance Inc'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 Therapeutic Alliance Inc was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.