Provider Demographics
NPI:1508664038
Name:LIFE'S WAVES COUNSELING, LLC
Entity type:Organization
Organization Name:LIFE'S WAVES COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOBINEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:307-214-7315
Mailing Address - Street 1:236 WESTERN HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009-3439
Mailing Address - Country:US
Mailing Address - Phone:307-757-5907
Mailing Address - Fax:
Practice Address - Street 1:236 WESTERN HILLS BLVD
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-3439
Practice Address - Country:US
Practice Address - Phone:307-757-5907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-03
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty