Organization
PEACEFUL WAVES COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLIN MARIE NINI MSSA, LCSW (CLINICAL SOCIAL WORKER/OWNER)
(586) 530-0735
Entity
Organization
Contact information
Practice address
1027 W RUDISILL BLVD # 207, FORT WAYNE, IN 46807-2160
(260) 225-3128
Mailing address
1027 W RUDISILL BLVD # 207, FORT WAYNE, IN 46807-2160
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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