Organization · Type 2 NPI

Living Waters Youth

Mental Health Counselor · Minneapolis, MN

NPI number 1144194002 Active

Practice location

5701 Shingle Creek Pkwy
Minneapolis, MN 55430-2467

Mailing address

3107 James Ave N
Minneapolis, MN 55411-1243

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1144194002

Living Waters Youth's National Provider Identifier is 1144194002, issued on Oct 2, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 2, 2025.