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Organization
WAVES COUNSELING SERVICES LLC
Active
Organization
WAVES COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANYALE WEEMS LCSW (CEO/FOUNDER)
(470) 244-2574
Entity
Organization
Contact information
Practice address
2717 N HIGHWAY 27, CARROLLTON, GA 30117
(470) 244-2574
(678) 890-1518
Mailing address
856 OLD ANTIOCH RD, CARROLLTON, GA 30117-7837
(970) 682-9097
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CSW.09923102
CO
101YM0800X
Mental Health Counselor
Primary
CSW005581
GA
101YM0800X
Mental Health Counselor
LCSW60265
TX
101YM0800X
Mental Health Counselor
SW11578
FL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0031652888B
—
GA
Enumeration date
08/23/2017
Last updated
07/21/2022
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