Active NPI
Waves Counseling Services LLC
- Mental Health Counselor
- Carrollton, GA
National Provider Identifier
1154848067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CSW005581
- Legal business name
- WAVES COUNSELING SERVICES LLC
- Practice address
- 2717 N Highway 27
Carrollton, GA 30117 - Phone
- (470) 244-2574
- Fax
- (678) 890-1518
- NPI assigned
- Aug 23, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Danyale Weems, LCSW
- Title
- Ceo/Founder
- Phone
- (470) 244-2574
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CSW005581 | GA | Primary |
| Mental Health Counselor | 101YM0800X | LCSW60265 | TX | |
| Mental Health Counselor | 101YM0800X | CSW.09923102 | CO | |
| Mental Health Counselor | 101YM0800X | SW11578 | FL | |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
2717 N Highway 27
Carrollton, GA 30117
Mailing address
856 Old Antioch Rd
Carrollton, GA 30117-7837
Phone (970) 682-9097
Other practice location 1
100 Professional Pl Ste 302
Carrollton, GA 30117
Phone (970) 682-9097
Other practice location 2
856 Old Antioch Rd
Carrollton, GA 30117-7837
Phone (970) 682-9097
Other practice location 3
100 Professional Pl Ste 302
Carrollton, GA 30117
Phone (970) 682-9097
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0031652888B | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
2717 N Highway 27
Carrollton, GA 30117
Phone (470) 244-2574
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Carrollton, GA
- NPI 1356025068
-
- Social Worker
- Carrollton, GA
- NPI 1053134866
-
- Professional Counselor
- Franklin, GA
- NPI 1568152064
-
- Professional Counselor
- Carrollton, GA
- NPI 1891495826
-
- Mental Health Counselor
- Carrollton, GA
- NPI 1417474446
-
- Clinical Social Worker
- Bremen, GA
- NPI 1861103020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1154848067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 OLD ANTIOCH RD",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301177837",
"telephone_number": "970-682-9097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2717 N HIGHWAY 27",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "30117",
"telephone_number": "470-244-2574",
"fax_number": "678-890-1518"
}
],
"practiceLocations": [
{
"address_1": "100 Professional Pl Ste 302",
"address_purpose": "LOCATION",
"city": "Carrollton",
"state": "GA",
"postal_code": "30117",
"country_code": "US",
"telephone_number": "970-682-9097",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "856 Old Antioch Rd",
"address_purpose": "LOCATION",
"city": "Carrollton",
"state": "GA",
"postal_code": "301177837",
"country_code": "US",
"telephone_number": "970-682-9097",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Professional Pl Ste 302",
"address_purpose": "LOCATION",
"city": "Carrollton",
"state": "GA",
"postal_code": "30117",
"country_code": "US",
"telephone_number": "970-682-9097",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WAVES COUNSELING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-23",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "WEEMS",
"authorized_official_first_name": "DANYALE",
"authorized_official_title_or_position": "CEO/FOUNDER",
"authorized_official_telephone_number": "470-244-2574",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "CSW005581",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "LCSW60265",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "CSW.09923102",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "SW11578",
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0031652888B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.