NPIMap

Organization Active NPI

Living Water Residential Services

  • Psychiatric Residential Treatment Facility
  • Monroe, LA
National Provider Identifier
1699516534
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
LIVING WATER RESIDENTIAL SERVICES
Practice address
4201 Spurgeon Dr
Monroe, LA 71203-4521
Phone
(318) 614-7644
NPI assigned
Jun 4, 2024
Last updated
May 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Lashunta Sharlan PringleNPI 1487000550
Title
Admin. Credentialing Coordinator
Phone
(318) 278-5964

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

4201 Spurgeon Dr
Monroe, LA 71203-4521

Mailing address

PO Box 7563
Monroe, LA 71211-7563
Phone (318) 278-5964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699516534. Details of each certification follow.

  • CCN 19L011 Psychiatric residential treatment facility · Active · Name & address match · Details

Psychiatric residential treatment facility certification: CCN 19L011

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
LIVING WATER RESIDENTIAL SERVICES SPURGEON
Certification status
Active
Provider type (POS)
Psychiatric residential treatment facility
Participating since
Sep 15, 2025
Last certification
May 28, 2025
Beds
12
Ownership / control type
Non-profit – corporation
Facility address
4201 Spurgeon Dr
Monroe, LA 71203

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1699516534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7563",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712117563",
            "telephone_number": "318-278-5964",
            "fax_number": "318-343-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SPURGEON DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712034521",
            "telephone_number": "318-614-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATER RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "PRINGLE",
        "authorized_official_first_name": "LASHUNTA",
        "authorized_official_middle_name": "SHARLAN",
        "authorized_official_title_or_position": "ADMIN. CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "318-278-5964"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.