Living Water Health and Wellness LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

LIVING WATER HEALTH AND WELLNESS LLC

Practice address

2636 Wade Rd SE Apt 11
Washington, DC 20020-5906

Phone

(202) 460-6876

NPI assigned

Dec 3, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Stephanie Thomas

Title

Ceo

Phone

(202) 460-6876

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1480723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515974400000",
    "number": "1902349335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 GRENFELL CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207205331",
            "telephone_number": "202-460-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 WADE RD SE APT 11",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205906",
            "telephone_number": "202-460-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATER HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-03",
        "last_updated": "2018-01-15",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-460-6876",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Livesay
• Jeffrey Robert Livezey, M.D.
• Living Alternatives Care
• Living at Home Consultations, LLC
• Living in Love Psychotherapy PLLC
• Living Well Services
• John M Livingood, MD
• Alisha Monquie Livingston
• Angelica Maria Livingston
• Grace Emmanuel Livingston, HHA

• Developmental Disabilities Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Developmental Disabilities Clinic/Center in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.