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

Active since September 06, 2025CLIA 44D2331571 · Waiver
1706 TRIANGLE PARK DR, MARYVILLE, TN 37801(865) 214-7343(865) 381-1437 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 5, 2026, Sep 6, 2025 (2 updates tracked since 2025).

About Healing Waters Mental Health Llc NPPES

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

HEALING WATERS MENTAL HEALTH LLC (NPI 1710867981) is a healthcare organization registered as a psychiatric/mental health in Maryville, Tennessee and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through October 4, 2027 and lists Suzanne Marie Winzenburg, Owner, Provider, as its authorized official.

NPPES Registry Identity

NPI1710867981
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameHEALING WATERS MENTAL HEALTH LLC
Location Address1706 TRIANGLE PARK DRMaryville, TN 37801-3749
Mailing Address1706 Triangle Park DrMaryville, TN 37801-3749 · (865) 214-7343 · Fax (865) 381-1437
Fax(865) 381-1437
Organization SubpartNo
Authorized OfficialSuzanne Marie WinzenburgOwner, Provider · (865) 214-7343
Enumeration DateSeptember 6, 2025
Last NPPES UpdateFebruary 5, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
NPI 1710867981 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
1706 TRIANGLE PARK DR, Maryville, TN 37801

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2331571

Healing Waters Mental Health, LLC · Maryville, TN
Active · expires Oct 4, 2027
CLIA Number44D2331571
Laboratory TypeMental Health Office
Certificate Effective DateOctober 5, 2025
Certificate Expiration DateOctober 4, 2027
Laboratory DirectorSuzanne M. Winzenburg
Laboratory Phone(865) 214-7343
Laboratory LocationHealing Waters Mental Health, LLC1706 Triangle Park Dr, Maryville, TN 37801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healing Waters Mental Health LLC's NPI number?

The NPI number for Healing Waters Mental Health LLC is 1710867981. It was assigned to this organization in the NPPES registry on September 6, 2025.

Where is Healing Waters Mental Health LLC located?

Healing Waters Mental Health LLC is located at 1706 Triangle Park Dr, Maryville, TN 37801. The listed phone number is (865) 214-7343.

What is Healing Waters Mental Health LLC's specialty?

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

Does Healing Waters Mental Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2331571) is associated with this NPI, valid through October 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Healing Waters Mental Health LLC was last updated on February 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.