Healthcare Provider Details

I. General information

NPI: 1366353237
Provider Name (Legal Business Name): WAVES OF SERENITY COUNSELING AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 BRIARWOOD DR STE 2
MYRTLE BEACH SC
29572-5745
US

IV. Provider business mailing address

829 9TH AVE S UNIT 20
NORTH MYRTLE BEACH SC
29582-3488
US

V. Phone/Fax

Practice location:
  • Phone: 843-997-2443
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: SONDRA MARIE SONDRA
Title or Position: OWNER
Credential: LPC
Phone: 843-997-2443