# DYNAMIC WAVES OF CHANGE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528484409
- **Authorized official:** PAVEL ABRAMOV (OWNER)
- **Authorized official phone:** (305) 916-8818

## Contact information

- **Practice address:** 2020 NE 163RD ST, \#204, NORTH MIAMI BEACH, FL 33162-4927
- **Practice address phone:** (786) 345-1510
- **Practice address fax:** (305) 705-3236
- **Mailing address:** 3700 SW 54TH ST, FORT LAUDERDALE, FL 33312-5670
- **Mailing address phone:** (305) 916-8818
- **Mailing address fax:** (305) 705-3236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CAP 4003 | FL | Yes |

## Other

- **Enumeration date:** 03/15/2014
- **Last updated:** 05/12/2021