NPIMap

Organization Active NPI

Living Water Ministries International

Doing business as Living Water Family Services

  • Community/Behavioral Health Agency
  • Monroe, LA
National Provider Identifier
1972980514
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIVING WATER MINISTRIES INTERNATIONAL
Doing business as
Living Water Family Services
Practice address
1816 Roselawn Avenue
Monroe, LA 71201
Phone
(318) 325-5898
Fax
(318) 342-9347
NPI assigned
May 4, 2015
Last updated
May 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Latondra Carlette Fisher, LPC
Title
Director
Phone
(318) 614-7644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1816 Roselawn Avenue
Monroe, LA 71201

Mailing address

PO Box 7563
Monroe, LA 71211-7563
Phone (318) 614-7644

Other names 1

  • Living Water Family Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Living Water Family Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1972980514",
    "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": "318-614-7644",
            "fax_number": "318-342-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 ROSELAWN AVENUE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-325-5898",
            "fax_number": "318-342-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATER MINISTRIES INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "LATONDRA",
        "authorized_official_middle_name": "CARLETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-614-7644",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Water Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.