HEALING WATERS COUNSELING LLC NPI 1942631635

NPI Information

  • NPI: 1942631635
  • Provider Name: HEALING WATERS COUNSELING, LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 4320 RINGGOLD RD
    SUITE ONE
    EAST RIDGE, TN
    ZIP 37412
  • Phone: (423) 698-5090

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NPI Details

HEALING WATERS COUNSELING, LLC is a mental health counselor in East Ridge, TN. HEALING WATERS COUNSELING, LLC NPI is 1942631635. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4320 RINGGOLD RD
SUITE ONE
EAST RIDGE, TN
ZIP 37412-712
Phone: (423) 698-5090
Fax: (423) 698-5090

The provider's authorized official is Ted R Wilkes .
The authorized official title is Owner and has the following contact phone number (423) 698-5090.

The enumeration date for this NPI number is 12/5/2013 and was last updated on 12/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health048009TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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