Organization
THE WAVE INTERNATIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEE T BRYANT (COO)
(727) 612-4907
Entity
Organization
Contact information
Practice address
9215 CAUSEWAY BLVD, TAMPA, FL 33619-6608
(727) 612-4907
Mailing address
28059 US HIGHWAY 19 N STE 205, CLEARWATER, FL 33761-2620
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
07/24/2023
Last updated
05/14/2025
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