WAVES OF CHANGE COUNSELING SERVICES, LLC
NPI 1487159117
Counselor - Professional in Southington, CT
Active since March 26, 2018
About Waves Of Change Counseling Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WAVES OF CHANGE COUNSELING SERVICES, LLC (NPI 1487159117) is a healthcare organization registered as a professional in Southington, Connecticut and active in the NPI registry since March 2018. The organization lists Chrystal Long, Licensed Professional Counselor, as its authorized official.
NPPES Registry Identity
NPI1487159117
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameWAVES OF CHANGE COUNSELING SERVICES, LLC
Location Address92 N SUMMIT ST STE 2ESouthington, CT 06489-3000
Mailing Address92 N Summit St Ste 2eSouthington, CT 06489-3000
Phone(203) 677-0919
Organization SubpartNo
Authorized OfficialChrystal LongLicensed Professional Counselor · (203) 677-0919
Enumeration DateMarch 26, 2018
✔ NPI 1487159117 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 002045
92 N SUMMIT ST STE 2E, Southington, CT 06489
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487159117, enumerated as an "organization" on March 26, 2018.
The provider is located at 92 N SUMMIT ST STE 2E SOUTHINGTON, CT 06489 and the phone number is (203) 677-0919.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
