Organization · NPI-2

Living Water Counseling Services

Clinic/Center, Mental Health (Including Community Mental Health Center) · Morgantown, WV

NPI number1093393597

StatusActive

Last updated in NPPESApr 2, 2021

Details

NPI: 1093393597
Entity type: Organization (NPI-2)
Legal business name: Living Water Counseling Services
Organization subpart: No
Enumeration date: Mar 29, 2021
Certification date: Apr 2, 2021
Last updated: Apr 2, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–	Yes
261QM0850X	Clinic/Center, Adult Mental Health	–	–
261QM0855X	Clinic/Center, Adolescent and Children Mental Health	–	–

Practice location

112 Wedgewood Dr Apt 9
Morgantown, WV 26505-2480

Phone 540-746-1830

Mailing address

112 Wedgewood Dr Apt 9
Morgantown, WV 26505-2480

Phone 540-746-1830

Authorized official

Ophelia Ama Asantewaa Opoku-Acheampong
Clinical Therapist
5407461830

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