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

Living Waters Therapeutic Alliance Inc

Organization Mental Health Counselor · NPI 1174207609

Living Waters Therapeutic Alliance Inc is a Mental Health Counselor 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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