Organization
WAVES BEHAVIORAL HEALTH & RECOVERY NETWORK LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYNARD A MILLER II (PRESIDENT)
(614) 439-5473
Entity
Organization
Contact information
Practice address
1215 TANNIC ST, BLACKLICK, OH 43004-8785
(614) 439-5473
Mailing address
1480 ARLINGTON AVE, COLUMBUS, OH 43211-1429
(614) 439-5473
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
171400000X
Health & Wellness Coach
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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