Living Water Behavioral Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LIVING WATER BEHAVIORAL HEALTH LLC

Practice address

335 Klagg Ave
Trenton, NJ 08638-4419

Phone

(609) 228-6258

Fax

(609) 423-0210

NPI assigned

Aug 21, 2019

Organization subpart

No

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

Authorized official

Name

Kamsi Nwankwor

Title

Office Manager

Phone

(609) 228-6258

Specialties & licenses 1

Addresses

Other names 1

• living water behavioral health Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Agiliga Muomah, DNP, PMHNP-BC, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Trenton, NJ
  • NPI 1841662566
  Medicare reassignment

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1972150159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 KLAGG AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086384419",
            "telephone_number": "609-228-6258",
            "fax_number": "609-423-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 KLAGG AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086384419",
            "telephone_number": "609-228-6258",
            "fax_number": "609-423-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATER BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2025-09-02",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "NWANKWOR",
        "authorized_official_first_name": "KAMSI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "609-228-6258"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.livingwaterbh.com/",
            "affiliation": "N",
            "endpointDescription": "Practice Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "335 Klagg Ave",
            "city": "Trenton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086384419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "living water behavioral health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eugenia Lishchuk
• Little Love Care LLC.
• Rayonna Little
• Ava Littlewood-Snodgrass, PHARMD
• Andrew Litwin, M.D.
• LLMD Associates LLC
• Antoinette Lloyd, LCSW, ACSW
• Elizaveta Lobanova
• Rosemary H Locastro, M.D.
• Ehsan Masood Lodhi

• Psychiatric/Mental Health Nurse Practitioner in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.