| Living Waters Counseling Llc | |
|
5296 S Commerce Dr Ste 206 Murray UT 84107-5355 | |
| (801) 599-0649 | |
| Not Available |
| Full Name | Living Waters Counseling Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5296 S Commerce Dr Ste 206, Murray, Utah |
| Authorized Official Name and Position | Ronnie James Llewelyn (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 8015990649 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Waters Counseling Llc 7016 W Saw Timber Way West Jordan UT 84081-1907 Ph: (801) 599-0649 | Living Waters Counseling Llc 5296 S Commerce Dr Ste 206 Murray UT 84107-5355 Ph: (801) 599-0649 |
| NPI Number | 1295497873 |
|---|---|
| Provider Enumeration Date | 10/11/2021 |
| Last Update Date | 10/15/2021 |
| Certification Date | 10/15/2021 |
| Medicare PECOS PAC ID | 7012306137 |
|---|---|
| Medicare Enrollment ID | O20211111000908 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295497873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ronnie J Llewelyn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801838602 PECOS PAC ID: 4981900792 Enrollment ID: I20160303002499 |
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