Organization
LIVING WATERS MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN MCLAURINE LPC (OWNER)
(812) 372-3387
Entity
Organization
Contact information
Practice address
3939 CENTRAL AVE, COLUMBUS, IN 47203-2044
(812) 372-3387
Mailing address
3939 CENTRAL AVE, COLUMBUS, IN 47203-2044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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