Organization
WAVES OF HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WIRAG LPC (BUSINESS OWNER)
(203) 460-0584
Entity
Organization
Contact information
Practice address
54 SQUASH HOLLOW RD, NEW MILFORD, CT 06776-5403
(203) 460-0584
Mailing address
54 SQUASH HOLLOW RD, NEW MILFORD, CT 06776-5403
(203) 460-0584
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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