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

Living Water Psychiatry PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1124860929

Living Water Psychiatry PLLC is a Psychiatric/Mental Health Nurse Practitioner in Las Vegas, Nevada. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5940 S Rainbow Blvd Ste 400
Las Vegas, NV 89118-2507
Phone: (702) 854-6853
Fax: (702) 758-7315
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1124860929
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marjory Frederic — Ceo · (702) 854-6853
NPI enumeratedJune 11, 2024
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024
Mailing address5940 S Rainbow Blvd, Suite 400 #783517, Las Vegas, NV 89118-2507

Other providers in Las Vegas