| Living Waters Institute, Llc | |
|
15331 W Bell Rd Ste 212 Surprise AZ 85374-4104 | |
| (623) 226-8287 | |
| (480) 498-8161 |
| Full Name | Living Waters Institute, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 15331 W Bell Rd Ste 212, Surprise, Arizona |
| Authorized Official Name and Position | Christina Louise Sanford (OWNER) |
| Authorized Official Contact | 6232268287 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Waters Institute, Llc 12567 W Mazatzal Dr Peoria AZ 85383-0380 Ph: (623) 226-8287 | Living Waters Institute, Llc 15331 W Bell Rd Ste 212 Surprise AZ 85374-4104 Ph: (623) 226-8287 |
| NPI Number | 1649830340 |
|---|---|
| Provider Enumeration Date | 06/17/2019 |
| Last Update Date | 06/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649830340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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