Organization
LIVING WATER COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OPHELIA AMA ASANTEWAA OPOKU-ACHEAMPONG LICSW (CLINICAL THERAPIST)
(540) 746-1830
Entity
Organization
Contact information
Practice address
112 WEDGEWOOD DR APT 9, MORGANTOWN, WV 26505-2480
(540) 746-1830
Mailing address
112 WEDGEWOOD DR APT 9, MORGANTOWN, WV 26505-2480
(540) 746-1830
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/29/2021
Last updated
04/02/2021
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