Spring of Living Water Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SPRING OF LIVING WATER COUNSELING, LLC

Practice address

1814 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5545

Phone

(561) 670-8825

NPI assigned

Feb 1, 2020

Last updated

Feb 1, 2020By 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. Eguenel Louis, LMHCNPI 1508412313

Title

Owner

Phone

(561) 670-8825

Specialties & licenses 1

Addresses

Other names 1

• NONE Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eguenel Louis, LMHC

  • Counselor
  • Port St Lucie, FL
  • NPI 1508412313
  Authorized official Same address or phone

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

{
    "created_epoch": "1580515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580515200000",
    "number": "1336770957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9571",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349859571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525545",
            "telephone_number": "561-670-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING OF LIVING WATER COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-01",
        "last_updated": "2020-02-01",
        "certification_date": "2020-02-01",
        "status": "A",
        "authorized_official_last_name": "LOUIS",
        "authorized_official_first_name": "EGUENEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-670-8825",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rebecca Spayde
• Hannah Paige Spector
• Speech Horizons, LLC
• Kenneth C Sprechman, D.D.S.
• Spring Companion Services LLC.
• Springfield Gardens Assisted Living
• Springfield Gardens Assisted Living
• Springfield Gardens Group Home
• Rachel S Squier, D.M.D.
• Liza Squitieri, RD/LDN

• Mental Health Clinic/Center (Including Community Mental Health Center) in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2020; 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.