Organization
LIVING WATER COUNSELING ASSOCIATES, PA
Active
Organization
LIVING WATER COUNSELING ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN SHELTON ROGERS (ADMINSTRATIVE ASSISTANT)
(704) 933-4673
Entity
Organization
Contact information
Practice address
301 S MAIN ST, KANNAPOLIS, NC 28081-3203
(704) 933-4673
(704) 933-4325
Mailing address
301 S MAIN ST, KANNAPOLIS, NC 28081-3203
(704) 933-4673
(704) 933-4325
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4478
NC
103TB0200X
Cognitive & Behavioral Psychologist
Primary
0324
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017GC
BLUE CROSS BLUE SHIELD
NC
01
—
7476812
AETNA
NC
Enumeration date
03/29/2007
Last updated
09/11/2025
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