Provider Demographics
NPI:1467189563
Name:WAVES OF CHANGE COUNSELING AND HEALING
Entity Type:Organization
Organization Name:WAVES OF CHANGE COUNSELING AND HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-774-2907
Mailing Address - Street 1:600 MARSHALL MILL RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLINVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08322-2018
Mailing Address - Country:US
Mailing Address - Phone:609-774-2907
Mailing Address - Fax:
Practice Address - Street 1:600 MARSHALL MILL RD
Practice Address - Street 2:
Practice Address - City:FRANKLINVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08322-2018
Practice Address - Country:US
Practice Address - Phone:609-774-2907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty