WAVES OF CHANGE COUNSELING SERVICES, LLC (NPI# 1487159117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487159117 |
| Entity Type | Organization |
| Organization Name | WAVES OF CHANGE COUNSELING SERVICES, LLC |
| Practice Address |
92 N Summit St Ste 2e Southington CT 06489-3000 |
| Practice Telephone | 2036770919 |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-03-26 |
| Authorized Official Name | MISS CHRYSTAL LONG (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Telephone | 2036770919 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
002045 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780009852 | Waves of Change Counseling Services, LLC | Community/Behavioral Health | 20730 Holyoke Ave, Suite 137, Lakeville, MN 55044-9826 | 2014-02-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Waves of Change Counseling Services, LLC | 2310 Vickers Dr, Colorado Springs, CO 80918 |
| Street Address |
92 N SUMMIT ST STE 2E |
| City | SOUTHINGTON |
| State | CT |
| Zip Code | 06489-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467087783 | Shankar Panwar | Counselor | K 11, 1783 Meriden Waterbury Tpke, Southington, CT 06489 | 2020-03-06 |
| 1235771056 | Kathleen Rebecca Mckinney | Music Therapist | 196 Queen St., Southington, CT 06489 | 2019-10-14 |
| 1336700103 | Julie Amanda Nichols | Behavioral Analyst | 1842 Meriden-waterbury Turnpike, Southington, CT 06489 | 2019-06-24 |
| 1396238960 | Kriston Ronalter | Physician Assistant | 775 Queen Street, Southington, CT 06489 | 2018-06-08 |
| 1366933582 | Cj's Counseling, LLC | Counselor | 17 Meriden Ave Ste 1a, Southington, CT 06489 | 2018-05-23 |
| 1104329887 | Koby Douglas Fowler | Chiropractor | 1095 West St Unit 1, Southington, CT 06489 | 2018-03-09 |
| 1447763131 | Samreen, LLC | Clinic/Center | 775 Queen St, Suite 2, Southington, CT 06489 | 2017-11-16 |
| 1902320724 | Michael Petit | Physical Therapist | 98 Main Street, 202, Southington, CT 06489 | 2017-08-02 |
| 1457712127 | Leslie Mclaughlin | Speech-Language Pathologist | 400 Flanders Rd, Southington, CT 06489 | 2016-03-09 |
| 1306219159 | Breanne Schnepf-hanbury | Counselor | 26 N Main St Ste 2b, Southington, CT 06489 | 2015-11-02 |
| Find all providers in zip 06489 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114499191 | Judith Wayton | Counselor | 963 Queen St Ste C, Southington, CT 06489-1282 | 2019-01-01 |
| 1366933582 | Cj's Counseling, LLC | Counselor | 17 Meriden Ave Ste 1a, Southington, CT 06489 | 2018-05-23 |
| 1306219159 | Breanne Schnepf-hanbury | Counselor | 26 N Main St Ste 2b, Southington, CT 06489 | 2015-11-02 |
| 1467831859 | Joanne Etter | Counselor | 310 Crest Rd, Southington, CT 06489-2866 | 2015-05-19 |
| 1295154979 | Erica Wilcox | Counselor | 96 Center St, Southington, CT 06489-3108 | 2014-04-10 |
| 1083032114 | Brandi Elise Savio | Counselor | 92 N Summit St, Southington, CT 06489-3013 | 2014-04-05 |
| 1316212426 | Lisa A Hayes | Counselor | 943 Queen St Fl 2, Southington, CT 06489-1234 | 2012-03-22 |
| 1679847255 | Creative Reflections Counseling Center, LLC | Counselor | 943 Queen St, Second Floor, Southington, CT 06489-1234 | 2012-02-29 |
| 1821368945 | Mark Thomas Bugnacki | Counselor | 26 N Main St Ste 2a, Southington, CT 06489-2572 | 2012-01-05 |
| 1003148099 | Joyce Cerejo Day | Counselor | 51 North Main St., Suite 3n, Southington, CT 06489-4370 | 2010-02-02 |
| Find all providers in SOUTHINGTON | ||||
| City | SOUTHINGTON |
| Zip Code | 06489 |
Please comment or provide details below to improve the information on WAVES OF CHANGE COUNSELING SERVICES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.