Living Waters Medical Center
Living Waters Medical Center is an Addiction (Substance Use Disorder) Counselor in Logan, West Virginia. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
100 Main AveLogan, WV 25601-3323
Phone: (304) 946-8350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
Record details
| NPI number | 1114585619 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amber Ellis — Director/Family Nurse Practitioner · (304) 946-8350 |
| NPI enumerated | May 31, 2019 |
| Last updated in NPPES | March 26, 2025 |
| Certification date | March 26, 2025 |
| Mailing address | 100 Main Ave, Logan, WV 25601-3323 |
Other providers in Logan
-
Leigh Ann Caserta
1103 George Kostas Dr Ste 225, Logan, WV 25601-3759 · (304) 792-1111
-
Kerri Mangus
48 Wildwood Ln, Logan, WV 25601-4059 · (229) 785-5913
-
Mr. Joseph Michael Mounts, MED, AADC, LPC
400 Dingess St, Logan, WV 25601-3617 · (304) 525-7851