Living Water Counseling Center

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

106H00000X Issued in FL

Legal business name

LIVING WATER COUNSELING CENTER

Practice address

1540 International Pkwy
Lake Mary, FL 32746-5096

Phone

(407) 949-0209

Fax

(844) 549-5500

NPI assigned

Nov 14, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Sharonda Williams Engram, M.S.

Title

Registered Marriage and Family Ther

Phone

(407) 949-0209

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1508308164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 INTERNATIONAL PKWY",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465096",
            "telephone_number": "407-949-0209",
            "fax_number": "844-549-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 INTERNATIONAL PKWY",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465096",
            "telephone_number": "407-949-0209",
            "fax_number": "844-549-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATER COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "ENGRAM",
        "authorized_official_first_name": "SHARONDA",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "REGISTERED MARRIAGE AND FAMILY THER",
        "authorized_official_telephone_number": "407-949-0209",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "106H00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia Stephanie Lindskoog
• Nadia Lionel, PHARMD
• Monique Lipka
• Lisa Minter Counseling
• Live Life Counseling and Consuliting, LLC
• Haley Marie Livingston, RBT
• Clarissa Lizardi
• Melanie Ann Lizardi
• Lauren Lamontagne Lloyd
• Aleah Lodge, LMHC

• Point of Service in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Point of Service in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.