HEALING WATERS MENTAL HEALTH LLC
NPI 1710867981
Nurse Practitioner - Psychiatric/Mental Health in Maryville, TN

NPI Status: Active since September 06, 2025

Contact Information

1706 TRIANGLE PARK DR
MARYVILLE, TN
ZIP 37801
Phone: (865) 214-7343
Fax: (865) 381-1437

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health
  • CLIA Number: 44D2331571
  • CLIA Cert. Type: Other - MENTAL HEALTH OFFICE
  • CLIA Exp. Date: 10-04-2027

About HEALING WATERS MENTAL HEALTH LLC

This page provides the complete NPI Profile along with additional information for Healing Waters Mental Health Llc, a provider established in Maryville, Tennessee operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1710867981 assigned on September 2025. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated February 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Suzanne Marie Winzenburg Phmnp-bc, Fnp-bc (Owner, Provider)

NPI
1710867981
Provider Name
HEALING WATERS MENTAL HEALTH LLC
Entity Type
Organization
Location Address
1706 TRIANGLE PARK DR MARYVILLE, TN 37801
Location Phone
(865) 214-7343
Location Fax
(865) 381-1437
Mailing Address
1706 TRIANGLE PARK DR MARYVILLE, TN 37801
Mailing Phone
(865) 214-7343
Mailing Fax
(865) 381-1437
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-06-2025
Last Update Date
02-05-2026
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A nurse practitioner (NP) like Healing Waters Mental Health Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SUZANNE MARIE WINZENBURG PHMNP-BC, FNP-BC

Authorized Official Title
OWNER, PROVIDER
Authorized Official Phone
(865) 214-7343

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2331571
Facility Type
Other - MENTAL HEALTH OFFICE
Certificate Effective Date
October 05, 2025
Certificate Expiration Date
October 04, 2027
Laboratory Director
SUZANNE M. WINZENBURG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Healing Waters Mental Health Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1710867981, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 8 → 16 → 7 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 2 + 0 + 1 + 6 + 6 + 1 + 4 + 9 + 1 + 6 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1710867981.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Counselor (Professional)
1706 TRIANGLE PARK DR
MARYVILLE, TN 37801
Counselor (Professional)
1706 TRIANGLE PARK DR
MARYVILLE, TN 37801
Nurse Practitioner (Psychiatric/Mental Health)
1706 TRIANGLE PARK DR
MARYVILLE, TN 37801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710867981, enumerated as an "organization" on September 06, 2025.

The provider is located at 1706 TRIANGLE PARK DR MARYVILLE, TN 37801 and the phone number is (865) 214-7343.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.