Living Waters Christian Fellowship

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

0904003893 Issued in VA

Legal business name

LIVING WATERS CHRISTIAN FELLOWSHIP

Practice address

15555 Warwick Blvd
Suite F
Newport News, VA 23608-2177

Phone

(757) 820-0717

Fax

(757) 820-0716

NPI assigned

Apr 25, 2008

Last updated

Apr 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Pastor Charlie Ammons

Title

Pastor

Phone

(757) 820-0717

Specialties & licenses 1

Addresses

Other names 1

• Living Waters Counseling Center Other name

Locations

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1225203771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15555 WARWICK BLVD",
            "address_2": "SUITE F",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236082177",
            "telephone_number": "757-820-0717",
            "fax_number": "757-820-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15555 WARWICK BLVD",
            "address_2": "SUITE F",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236082177",
            "telephone_number": "757-820-0717",
            "fax_number": "757-820-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATERS CHRISTIAN FELLOWSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "AMMONS",
        "authorized_official_first_name": "PASTOR CHARLIE",
        "authorized_official_title_or_position": "PASTOR",
        "authorized_official_telephone_number": "757-820-0717",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "VA",
            "license": "0904003893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Waters Counseling Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Voluntary or Charitable Agency in Newport News, VA
• Providers in Newport News, VA by specialty
• Voluntary or Charitable Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.