# LIVING WATER BEHAVIORAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** living water behavioral health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972150159
- **Authorized official:** KAMSI NWANKWOR (OFFICE MANAGER)
- **Authorized official phone:** (609) 228-6258

## Contact information

- **Practice address:** 335 KLAGG AVE, TRENTON, NJ 08638-4419
- **Practice address phone:** (609) 228-6258
- **Practice address fax:** (609) 423-0210
- **Mailing address:** 335 KLAGG AVE, TRENTON, NJ 08638-4419
- **Mailing address phone:** (609) 228-6258
- **Mailing address fax:** (609) 423-0210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2019
- **Last updated:** 09/02/2025