Living Water Mental Health Brain Treatment Center · Psychiatry Physician

1086 London St Ste B, Myrtle Beach, SC 29577-5761

Overview

Living Water Mental Health Brain Treatment Center is a Psychiatry Physician (organization) practicing in Myrtle Beach, South Carolina. The National Provider Identifier (NPI) is #1922829365, which was assigned on October 18, 2024, and the registration record was last updated on October 6, 2025. The practitioner's main practice location is at 1086 London St Ste B, Myrtle Beach, SC 29577-5761; the contact telephone number is 8438399688. The primary taxonomy of Living Water Mental Health Brain Treatment Center is Psychiatry Physician (2084P0800X), with specialization in Psychiatry. The authorized official for Living Water Mental Health Brain Treatment Center is Benjamin Greenzweig (Executive Director).

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Provider Information

NPI 1922829365
Entity Type Organization
Organization Name LIVING WATER MENTAL HEALTH BRAIN TREATMENT CENTER
Provider Name LIVING WATER MENTAL HEALTH BRAIN TREATMENT CENTER
Practice Address 1086 London St Ste B
Myrtle Beach
SC 29577-5761
Practice Telephone 8438399688
Mailing Address 1086 London St Ste B
Myrtle Beach
SC 29577-5761
Mailing Telephone 8439385913
Mailing Fax Number 8436274617
Certification Date 2025-10-06
Enumeration Date 2024-10-18
Last Update Date 2025-10-06
Is Organization Subpart N

Authorized Official Information

Official Name BENJAMIN GREENZWEIG
Official Title EXECUTIVE DIRECTOR
Telephone 8438399688

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y2084P0800XPsychiatry & NeurologyPsychiatry193400000X SINGLE SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 2084P0800X
Taxonomy Psychiatry Physician
Classification Psychiatry & Neurology
Specialization Psychiatry
Grouping Allopathic & Osteopathic Physicians
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

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Location Information

Street Address 1086 LONDON ST STE B
City MYRTLE BEACH
State SC
Zip Code 29577-5761
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Benjamin Greenzweig 1086 London St Ste B, Myrtle Beach, SC 29577-5761Clinical Social Worker2024-09-26
Ava Catherine Meyer 1086 London St Ste B, Myrtle Beach, SC 29577-5761Psychiatric/Mental Health Nurse Practitioner2025-08-02

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Jessica Rose Criser 1086 London St, Myrtle Beach, SC 29577-5761Psychiatric/Mental Health Nurse Practitioner2024-02-12

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Julie Hite 540 Seaboard Street, Myrtle Beach, SC 29577Pharmacist2014-04-18
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Kenneth Edward Smith 1125 48th Avenue North, Myrtle Beach, SC 29577Professional Counselor2015-02-02
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.