Breaking Waves Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BREAKING WAVES COUNSELING, LLC

Practice address

2030 E Broadway Blvd Ste 25
Tucson, AZ 85719-5907

Phone

(520) 425-1316

NPI assigned

Nov 15, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vernice Sandra Morris, LCSW

Title

Owner

Phone

(520) 425-1316

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573776000000",
    "number": "1114562956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 W ORANGE GROVE RD APT 3103",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044003",
            "telephone_number": "520-425-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 E BROADWAY BLVD STE 25",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857195907",
            "telephone_number": "520-425-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKING WAVES COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "VERNICE",
        "authorized_official_middle_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-425-1316",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.