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LIVINGWATERS
NPI 1952441222
Community/Behavioral Health in Fayetteville, NC

Active since February 07, 2007
8383 CLIFFDALE RD., FAYETTEVILLE, NC 28314(910) 717-6127(910) 717-6127 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Livingwaters NPPES

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

LIVINGWATERS (NPI 1952441222) is a healthcare organization registered as a community/behavioral health in Fayetteville, North Carolina and active in the NPI registry since February 2007. The organization lists Preston Ray Ealy, Administrative Director, as its authorized official.

NPPES Registry Identity

NPI1952441222
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameLIVINGWATERS
Location Address8383 CLIFFDALE RD.Fayetteville, NC 28314-5853
Mailing Address8419 Cartman DrFayetteville, NC 28314-8419 · (910) 487-2630
Phone(910) 717-6127
Fax(910) 717-6127
Organization SubpartNo
Authorized OfficialPreston Ray EalyAdministrative Director · (910) 717-6127
Enumeration DateFebruary 7, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1952441222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in NC · MHL 026-796
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
8383 CLIFFDALE RD., Fayetteville, NC 28314
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Other Identifiers 1

Medicaid3418072NC

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 Livingwaters's NPI number?

The NPI number for Livingwaters is 1952441222. It was assigned to this organization in the NPPES registry on February 7, 2007.

Where is Livingwaters located?

Livingwaters is located at 8383 Cliffdale Rd., Fayetteville, NC 28314. The listed phone number is (910) 717-6127.

What is Livingwaters's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Livingwaters was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.