Provider Demographics
NPI:1538740840
Name:WATER'S EDGE COUNSELING
Entity type:Organization
Organization Name:WATER'S EDGE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER, LICENSED COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:TROUTMAN
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, MA
Authorized Official - Phone:912-319-5553
Mailing Address - Street 1:2103 BULL ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31401-8530
Mailing Address - Country:US
Mailing Address - Phone:912-319-5552
Mailing Address - Fax:912-438-4931
Practice Address - Street 1:2103 BULL ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31401-8530
Practice Address - Country:US
Practice Address - Phone:912-319-5552
Practice Address - Fax:912-438-4931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty