Organization Active NPI

Wave Women Who Are Victorious Over Eating, LLC

  • Community/Behavioral Health Agency
  • Montgomery, AL
National Provider Identifier
1699139766
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WAVE WOMEN WHO ARE VICTORIOUS OVER EATING, LLC
Practice address
2421 Presidents Dr Ste B-21
Montgomery, AL 36116-1632
Phone
(877) 845-7560
NPI assigned
Apr 5, 2016
Last updated
Apr 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Ms. Lavista V Smith
Title
Director
Phone
(334) 202-6950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2421 Presidents Dr Ste B-21
Montgomery, AL 36116-1632

Mailing address

2421 Presidents Dr Ste B-21
Montgomery, AL 36116-1632
Phone (877) 845-7560

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1699139766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 PRESIDENTS DR STE B-21",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361161632",
            "telephone_number": "877-845-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 PRESIDENTS DR STE B-21",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361161632",
            "telephone_number": "877-845-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVE WOMEN WHO ARE VICTORIOUS OVER EATING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAVISTA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "334-202-6950",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.