Living Water Counseling Center

NPI #1508308164 in Lake Mary, Florida

Provider Information

NPI Number: 1508308164
Entity Type: Organization
Organization Name: Living Water Counseling Center
Primary Specialty: Point of Service
Enumeration Date: Nov 14, 2016
Last Updated: Nov 14, 2016

Practice Location

Address: 1540 INTERNATIONAL PKWY
City: Lake Mary
State: Florida
ZIP Code: 32746-5096
Phone: (407) 949-0209

Authorized Official

Name: MRS. SHARONDA WILLIAMS ENGRAM, M.S.
Title: REGISTERED MARRIAGE AND FAMILY THER
Phone: (407) 949-0209

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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