Organization
LIVING WATER COUNSELING CENTER, INC.
Active
Parent organization
LIVING WATER COUNSELING CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIVING WATER COUNSELING CENTER
Authorized official
BRIAN SCOTT WILKERSON (PRESIDENT AND CEO)
(434) 534-9329
Entity
Organization
Contact information
Practice address
137 LAXTON RD, SUITE 250, LYNCHBURG, VA 24502-3144
(434) 473-7458
Mailing address
412 RUNNER STONE DR, EVINGTON, VA 24550-4330
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
VA
251S00000X
Community/Behavioral Health Agency
Primary
1913
VA
Other
Enumeration date
07/07/2011
Last updated
11/15/2011
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