Waves of Grace Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701005506 Issued in VA

Legal business name

WAVES OF GRACE COUNSELING, LLC

Practice address

305 Hanson Ave Ste 170
Fredericksburg, VA 22401-3175

Phone

(540) 361-4330

Fax

(540) 361-4331

NPI assigned

Dec 2, 2013

Organization subpart

No

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

Authorized official

Name

Angela Manion, LPC

Title

Owner

Phone

(804) 338-6220

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1811328826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 HANSON AVE STE 170",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013175",
            "telephone_number": "540-361-4330",
            "fax_number": "540-361-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 HANSON AVE STE 170",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013175",
            "telephone_number": "540-361-4330",
            "fax_number": "540-361-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVES OF GRACE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "MANION",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-338-6220",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyra Washington, LBA,BCBA
• Beth Ann Waters, LPC
• Kim Waters
• Jordan Watkins, PHARMD
• Vicki Ann Watson, NP
• We Care 4 U Support Services
• Matthew J Weaver, PA
• David Kevin Weber, M.D.
• Laura Kathleen Weber, MED, SLP
• Timothy D Weber, MD

• Professional Counselor in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.