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Organization
WAVE COUNSELING AND CONSULTING LLC
Active
Organization
WAVE COUNSELING AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA BISHOP LMSW (OWNER)
(734) 205-7888
Entity
Organization
Contact information
Practice address
359 S WATER ST, MARINE CITY, MI 48039-1694
(810) 202-2662
Mailing address
343 N WILLIAM ST, MARINE CITY, MI 48039-3706
(734) 205-7888
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/04/2024
Last updated
07/04/2024
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