Healing Waters Outreach Ministries

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

HEALING WATERS OUTREACH MINISTRIES

Doing business as

Healing Waters Recovery and Training Program

Practice address

1547 Genesee St
Buffalo, NY 14211-1632

Phone

(716) 725-0561

NPI assigned

Nov 19, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Benita Howell-Israel, CERT.RECOVERY COACH

Title

Managing Director

Phone

(160) 717-6839

Specialties & licenses 6

Addresses

Other names 1

• Healing Waters Recovery and Training Program Doing business as

Locations

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1487123451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 GENESEE ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142111632",
            "telephone_number": "716-725-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 GENESEE ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142111632",
            "telephone_number": "716-725-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING WATERS OUTREACH MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "HOWELL-ISRAEL",
        "authorized_official_first_name": "BENITA",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "160-717-6839",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CERT.RECOVERY COACH"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Waters Recovery and Training Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Management Agency in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Case Management Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.