Provider Demographics
NPI:1043498884
Name:WAVES INC.
Entity Type:Organization
Organization Name:WAVES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAHENBILL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:615-794-7955
Mailing Address - Street 1:145 SE PARKWAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-3943
Mailing Address - Country:US
Mailing Address - Phone:615-794-7955
Mailing Address - Fax:615-794-6019
Practice Address - Street 1:145 SE PARKWAY
Practice Address - Street 2:SUITE 180
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-3943
Practice Address - Country:US
Practice Address - Phone:615-794-9602
Practice Address - Fax:615-791-9179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-04
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN321-097-4008252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1519269Medicaid