Active NPI
Waves of Healing Therapy LLC
- Adolescent and Children Mental Health Clinic/Center
- Tampa, FL
National Provider Identifier
1235054040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- WAVES OF HEALING THERAPY LLC
- Practice address
- 16630 N Dale Mabry Hwy
Tampa, FL 33618-1400 - Phone
- (628) 245-5181
- NPI assigned
- Aug 11, 2026
- 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
- Holly Bousquet, LMHC
- Title
- Owner
- Phone
- (860) 859-7976
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary |
Addresses
Primary practice location
16630 N Dale Mabry Hwy
Tampa, FL 33618-1400
Mailing address
16630 N Dale Mabry Hwy
Tampa, FL 33618-1400
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Lutz, FL
- NPI 1013894757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786406400000",
"number": "1235054040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16630 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336181400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16630 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336181400",
"telephone_number": "628-245-5181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAVES OF HEALING THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-11",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A",
"authorized_official_last_name": "BOUSQUET",
"authorized_official_first_name": "HOLLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "860-859-7976",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.