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Organization
WAVES OF WELLNESS LLC
Active
Organization
WAVES OF WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN PIEKARZ LCPC, CCMHC (FOUNDER AND CLINICIAN)
(708) 274-7131
Entity
Organization
Contact information
Practice address
16571 OAK PARK AVE STE 210, TINLEY PARK, IL 60477-1752
(708) 274-7131
Mailing address
8457 W 95TH ST APT 2W, HICKORY HILLS, IL 60457-1872
(708) 274-7131
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20200412026500
—
IL
Enumeration date
08/08/2020
Last updated
08/08/2020
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