| Living Water Counseling Services | |
|
112 Wedgewood Dr Apt 9 Morgantown WV 26505-2480 | |
| (540) 746-1830 | |
| Not Available |
| Full Name | Living Water Counseling Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 112 Wedgewood Dr Apt 9, Morgantown, West Virginia |
| Authorized Official Name and Position | Ophelia Ama Asantewaa Opoku-acheampong (CLINICAL THERAPIST) |
| Authorized Official Contact | 5407461830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Water Counseling Services 112 Wedgewood Dr Apt 9 Morgantown WV 26505-2480 Ph: (540) 746-1830 | Living Water Counseling Services 112 Wedgewood Dr Apt 9 Morgantown WV 26505-2480 Ph: (540) 746-1830 |
| NPI Number | 1093393597 |
|---|---|
| Provider Enumeration Date | 03/29/2021 |
| Last Update Date | 04/02/2021 |
| Certification Date | 04/02/2021 |
| Medicare PECOS PAC ID | 9032514542 |
|---|---|
| Medicare Enrollment ID | O20210821000451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093393597 | NPI | - | NPPES |
| Provider Name | Ophelia Ama Asantewaa Opoku-acheampong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386125482 PECOS PAC ID: 0941605455 Enrollment ID: I20210821000456 |
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