LIVING WATERS PRISONER MINISTERIES
NPI 1235439159
Substance Abuse Rehabilitation Facility in Mount Airy, NC

Active since October 26, 2010
355 GALLOWAY ST, MOUNT AIRY, NC 27030(336) 719-2019(336) 719-2019 Get Directions Write a Review

NPPES record last updated: October 26, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Living Waters Prisoner Ministeries NPPES

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

LIVING WATERS PRISONER MINISTERIES (NPI 1235439159), doing business as Living Waters Outreach Program, is a healthcare organization registered as a substance abuse rehabilitation facility in Mount Airy, North Carolina and active in the NPI registry since October 2010. The organization lists Terry Christopher Speaks, Case Manager, as its authorized official.

NPPES Registry Identity

NPI1235439159
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameLIVING WATERS PRISONER MINISTERIES
Location Address355 GALLOWAY STMount Airy, NC 27030
Mailing Address355 Galloway StMount Airy, NC 27030-3711 · (336) 719-2019
Fax(336) 719-2019
Organization SubpartYesParent: Living Waters Prisoner Ministries
Authorized OfficialTerry Christopher SpeaksCase Manager · (336) 710-2019
Enumeration DateOctober 26, 2010
NPI 1235439159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Also ListedExclusive Provider OrganizationTaxonomy 302F00000X
355 GALLOWAY ST, Mount Airy, NC 27030

Other Names 1

Former Legal Business NameLiving Waters Outreach Program

Other Providers at the Same Location NPPES

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

Rehabilitation Practitioner
355 GALLOWAY ST
MOUNT AIRY, NC 27030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235439159, enumerated as an "organization" on October 26, 2010.

The provider is located at 355 GALLOWAY ST MOUNT AIRY, NC 27030 and the phone number is (336) 719-2019.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.