LIVING WATER BEHAVIORAL HEALTH LLC NPI 1972150159

NPI Information

NPI: 1972150159
Provider Name: LIVING WATER BEHAVIORAL HEALTH LLC

Doing Business As: LIVING WATER BEHAVIORAL HEALTH

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
335 KLAGG AVE
TRENTON, NJ
ZIP 08638
Phone: (609) 228-6258
Get Directions

LIVING WATER BEHAVIORAL HEALTH LLC is a psychiatric/mental health nurse practitioner in Trenton, NJ. LIVING WATER BEHAVIORAL HEALTH LLC NPI is 1972150159. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Living Water Behavioral Health.

The provider's business location address is:

335 KLAGG AVE
TRENTON, NJ
ZIP 08638-419
Phone: (609) 228-6258
Fax: (609) 423-0210

The provider's authorized official is Kamsi Nwankwor .
The authorized official title is Office Manager and has the following contact phone number (609) 228-6258.

The enumeration date for this NPI number is 8/21/2019 and was last updated on 4/12/2024.

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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »