Organization
LIVING WATERS INTERNATIONAL MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA VALMONTE RN (MANAGING NURSE)
(954) 790-7707
Entity
Organization
Contact information
Practice address
7950 SW 30TH ST, SUITE 201, DAVIE, FL 33328-1979
(954) 790-7707
Mailing address
1314 SW 160TH AVE, SUNRISE, FL 33326-1907
(954) 790-7707
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SW6661
FL
101YP1600X
Pastoral Counselor
SW6661
FL
1041C0700X
Clinical Social Worker
SW6661
FL
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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