NPI age
19 years
Enumerated 2007-04-17
● Active Type 2 · Organization
Living Waters Coordinated Communities, Inc.
Living Waters Coordinated Communities, Inc. is 1 of 15 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wilhelm
President, Psychologist
Last NPPES update
2007-09-28
Source: monthly bulk 2026-05
How this organization compares
Across 15 active clinic/center providers in Idaho.
NPI age
19 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
2108 N Ironwood Center Dr
Coeur D Alene, ID 83814
Mailing address
212 W Ironwood Dr, Suite D311
Coeur D Alene, ID 838141403
Authorized official
Laverl H Wilhelm, PHD
President, Psychologist
📞 2086760926
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Pain Management Psychology
Practice context
Single-site organization. Only one practice location on file.
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