Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Living Waters Therapeutic Alliance Inc

Organization Mental Health Counselor · NPI 1174207609

Living Waters Therapeutic Alliance Inc provides Mental Health Counselor services in Suffolk, Virginia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2570 River Watch Dr
Suffolk, VA 23434-8669
Phone: (757) 270-3976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1174207609
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlena Correll — Director · (757) 405-7519
NPI enumeratedJune 14, 2023
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024
Mailing address2570 River Watch Dr, Suffolk, VA 23434-8669

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