Organization
LIVING WATERS YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANNEKA HARRINGTON (CEO)
(612) 703-3313
Entity
Organization
Contact information
Practice address
5701 SHINGLE CREEK PKWY, MINNEAPOLIS, MN 55430-2467
(612) 703-3313
Mailing address
3107 JAMES AVE N, MINNEAPOLIS, MN 55411-1243
(612) 703-3313
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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