OrganizationActive
Living Water Christian Counseling Center
NPI 1194152983 · Early Intervention Provider Agency · Mount Clemens, MI
Provider details
- NPI number
- 1194152983
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Authorized official
- John O'Neal, Exec.director/Owner
Practice location
258 Nb Gratiot Ave
Mount Clemens, MI 48043-5749
Phone: (586) 954-0475
Mailing address
258 Nb Gratiot Ave
Mount Clemens, MI 48043-5749
Registry dates
- Enumerated
- 2013-10-11
- Last updated
- 2013-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.