MEDICARE: WAVES OF LIFE COUNSELING & CONSULTING, PLLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1316889504
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WAVES OF LIFE COUNSELING & CONSULTING, PLLC.

Provider Business Mailing Address
First Line	:	5900 BALCONES DR STE 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-4298
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3901 ARLINGTON HIGHLANDS BLVD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76018-6036
Country	:	US
Telephone Number	:	214-444-3053
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JAKEITHA RASHA SHOEMAKER
Credential	:
Telephone Number	:	832-984-1777

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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