Provider Demographics
NPI:1225364813
Name:LIVING WATERS INTERNATIONAL WOMEN'S MINISTRY
Entity Type:Organization
Organization Name:LIVING WATERS INTERNATIONAL WOMEN'S MINISTRY
Other - Org Name:LIVING WATERS INTERNATIONAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:SANFORD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:702-834-3884
Mailing Address - Street 1:911 N BUFFALO DR
Mailing Address - Street 2:SUITE 208
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-0379
Mailing Address - Country:US
Mailing Address - Phone:702-834-3884
Mailing Address - Fax:702-834-3544
Practice Address - Street 1:911 N BUFFALO DR
Practice Address - Street 2:SUITE 208
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0379
Practice Address - Country:US
Practice Address - Phone:702-834-3884
Practice Address - Fax:702-834-3544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-02
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorGroup - Multi-Specialty