NPI age
3 years
Enumerated 2022-08-04
● Active Type 2 · Organization
Living Water Youth Ranch
Living Water Youth Ranch is 1 of 1998 counselor organizations in Idaho.
Primary specialty
Counselor
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
McCreary
Office Manager
Last NPPES update
2022-08-04
Source: monthly bulk 2026-05
How this organization compares
Across 1998 active counselor providers in Idaho.
NPI age
3 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 21% of peers with subspecialties
NPI lifetime · 2022 → 2026
2022-08Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
8382 N Wayne Dr Ste 201
Hayden, ID 838356028
Mailing address
8382 N Wayne Dr Ste 201
Hayden, ID 838356028
Authorized official
Marissa McCreary
Office Manager
📞 2089811992
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Carol Lowry, ACADC Counselor NPI 1689311045
Specialties
-
Counselor PrimaryDefinition to come...
-
CounselorDefinition to come...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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