Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Living Waters Youth

Organization Mental Health Counselor · NPI 1144194002

Living Waters Youth provides Mental Health Counselor services in Minneapolis, Minnesota. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

5701 Shingle Creek Pkwy
Minneapolis, MN 55430-2467
Phone: (612) 703-3313
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1144194002
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanneka Harrington — Ceo · (612) 703-3313
NPI enumeratedOctober 2, 2025
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025
Mailing address3107 James Ave N, Minneapolis, MN 55411-1243

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