WAVES COUNSELING SERVICES LLC NPI 1154848067

NPI Information

NPI: 1154848067
Provider Name: WAVES COUNSELING SERVICES LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2717 N HIGHWAY 27
CARROLLTON, GA
ZIP 30117
Phone: (470) 244-2574
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WAVES COUNSELING SERVICES LLC is a mental health counselor in Carrollton, GA. WAVES COUNSELING SERVICES LLC NPI is 1154848067. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2717 N HIGHWAY 27
CARROLLTON, GA
ZIP 30117
Phone: (470) 244-2574
Fax: (678) 890-1518

The provider's authorized official is Danyale Weems .
The authorized official title is Ceo/founder and has the following contact phone number (470) 244-2574.

The enumeration date for this NPI number is 8/23/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LCSW60265	TEXAS	No
2	101YM0800X	Counselor	Mental Health	CSW.09923102	COLORADO	No
3	101YM0800X	Counselor	Mental Health	SW11578	FLORIDA	No
4	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
5	101YM0800X	Counselor	Mental Health	CSW005581	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0031652888B	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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