Organization
LIVING WATERS TRAUMA INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA LOUISE SANFORD LCSW (FOUNDING CEO)
(702) 577-4118
Entity
Organization
Contact information
Practice address
6130 ELTON AVE, SUITE 201, LAS VEGAS, NV 89107-2538
(702) 577-4118
(702) 216-6001
Mailing address
5828 MARIA DEL MAR ST, LAS VEGAS, NV 89130-7299
(702) 577-4118
(702) 216-6000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5312-C
NV
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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