Living Waters Counseling and Wellness Center PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LIVING WATERS COUNSELING AND WELLNESS CENTER PLLC

Practice address

4920 Windy Hill Dr Ste 14B
Raleigh, NC 27609-5193

Phone

(984) 212-4619

Fax

(252) 600-0454

NPI assigned

Apr 26, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amanda Mbata-Graham, LCSWNPI 1740847524

Title

Owner/Therapist

Phone

(919) 521-2057

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Mbata-Graham

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1740847524
  NPD Authorized official
• Destiny Arthur

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1952283392
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1124762083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3886 LITTLE CREEK CHURCH RD",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275209536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 WINDY HILL DR STE 14B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095193",
            "telephone_number": "984-212-4619",
            "fax_number": "252-600-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATERS COUNSELING AND WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "MBATA-GRAHAM",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "919-521-2057",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Lee Livengood, BC-HIS
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• Living & Learning Together, LLC
• Living Forward PLLC
• Living Soul of North Carolina ABA
• Living Well Balanced, P.C.
• Living Well Counseling Service
• Living Well Enterprises, LLC
• Living Well International Center, PC
• Living With Autism Inc

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.