Waves Counseling And Consulting, Llc | |
7320 Griffin Rd Ste 101 Davie FL 33314-4105 | |
(954) 300-2427 | |
Not Available |
Full Name | Waves Counseling And Consulting, Llc |
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Speciality | Counselor |
Location | 7320 Griffin Rd Ste 101, Davie, Florida |
Authorized Official Name and Position | Kristina Beaudry (OWNER/PRIMARY THERAPIST) |
Authorized Official Contact | 9548159186 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Waves Counseling And Consulting, Llc 7320 Griffin Rd Ste 101 Davie FL 33314-4105 Ph: (954) 300-2427 | Waves Counseling And Consulting, Llc 7320 Griffin Rd Ste 101 Davie FL 33314-4105 Ph: (954) 300-2427 |
NPI Number | 1194234302 |
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Provider Enumeration Date | 09/20/2017 |
Last Update Date | 03/29/2023 |
Certification Date | 03/29/2023 |
Medicare PECOS PAC ID | 0749628782 |
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Medicare Enrollment ID | O20240409004503 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194234302 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | MH13096 (Florida) | Primary |
Provider Name | Kristina Beaudry |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1770287195 PECOS PAC ID: 1658719695 Enrollment ID: I20240409004658 |
Provider Name | Alexandra Scallion |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1528777380 PECOS PAC ID: 7810336070 Enrollment ID: I20240419003121 |
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