Waves Counseling and Consulting, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH13096 Issued in FL

Legal business name

WAVES COUNSELING AND CONSULTING, LLC

Practice address

7320 Griffin Rd Ste 101
Davie, FL 33314-4105

Phone

(954) 300-2427

NPI assigned

Sep 20, 2017

Organization subpart

No

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

Authorized official

Name

Kristina Beaudry, LMHC

Title

Owner/Primary Therapist

Phone

(954) 815-9186

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1194234302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 GRIFFIN RD STE 101",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144105",
            "telephone_number": "954-300-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 GRIFFIN RD STE 101",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144105",
            "telephone_number": "954-300-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVES COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "BEAUDRY",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER/PRIMARY THERAPIST",
        "authorized_official_telephone_number": "954-815-9186",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Davie, FL
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• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.