Living Water Support Services

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

LIVING WATER SUPPORT SERVICES

Practice address

4300 Forbes Blvd Ste 130
Lanham, MD 20706-4375

Phone

(202) 559-9344

NPI assigned

Sep 21, 2019

Last updated

Sep 21, 2019By 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

Stephanie Thomas

Title

President

Phone

(202) 460-6876

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1569024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569024000000",
    "number": "1376194324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8217 KIPPIS RD",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081821",
            "telephone_number": "202-460-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 FORBES BLVD STE 130",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064375",
            "telephone_number": "202-559-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATER SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-21",
        "last_updated": "2019-09-21",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-460-6876"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Page A Lindsay, LGPC
• Buma Fomunung Lionel
• Aaron Little Jr.
• Nasira Little
• Livelihood Ngo-USA Inc
• Audrey Lloyd
• Lashay Rochelle Locke
• Rochelle E. Lockett, ORT/L
• Tonya Walker Lockwood, PSYD
• Stewart Samuel Loeb, DC

• Developmental Disabilities Clinic/Center in Lanham, MD
• Providers in Lanham, MD by specialty
• Developmental Disabilities Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2019; 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.