LIVING WATERS BEHAVIORAL HEALTH SERVICES
NPI 1962037374
Community/Behavioral Health in San Tan Valley, AZ

Active since March 05, 2020
5653 E FOX HOLLOW LN, SAN TAN VALLEY, AZ 85140(623) 547-1813 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 14, 2023, Mar 5, 2020 (2 updates tracked since 2020).

About Living Waters Behavioral Health Services NPPES

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

LIVING WATERS BEHAVIORAL HEALTH SERVICES (NPI 1962037374) is a healthcare organization registered as a community/behavioral health in San Tan Valley, Arizona and active in the NPI registry since March 2020. The organization maintains a secondary practice location in Coolidge and lists Shunta Dukes, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962037374
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameLIVING WATERS BEHAVIORAL HEALTH SERVICES
Location Address5653 E FOX HOLLOW LNSan Tan Valley, AZ 85140-7635
Mailing Address270 E Hunt Hwy, 16-184San Tan Valley, AZ 85143-4365 · (480) 935-7186
Organization SubpartNo
Authorized OfficialShunta DukesCeo · (623) 547-1813
Enumeration DateMarch 5, 2020
Last NPPES UpdateMarch 14, 20232 updates tracked since enumeration
NPPES CertifiedMarch 14, 2023
NPI 1962037374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
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.
5653 E FOX HOLLOW LN, San Tan Valley, AZ 85140

Secondary Practice Location 1

Location 1466 N 10th PlCoolidge, AZ 85128-3937 · Phone (623) 547-1813

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 Behavioral Health Services's NPI number?

The NPI number for Living Waters Behavioral Health Services is 1962037374. It was assigned to this organization in the NPPES registry on March 5, 2020.

Where is Living Waters Behavioral Health Services located?

Living Waters Behavioral Health Services is located at 5653 E Fox Hollow Ln, San Tan Valley, AZ 85140. The listed phone number is (623) 547-1813.

What is Living Waters Behavioral Health Services'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 Living Waters Behavioral Health Services was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.