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General NPI Number Information
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NPI Number | 1154262962
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Entity Type | Organization
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Legal Business Name | WAVES BEHAVIORAL HEALTH & RECOVERY NETWORK LTD
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 1215 TANNIC ST
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City | BLACKLICK
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State | OH
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Zip | 43004-8785
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Country | US
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Telephone | 614-439-5473
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Fax |
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Provider Business Mailing Address
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Address Line | 1480 ARLINGTON AVE
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City | COLUMBUS
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State | OH
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Zip | 43211-1429
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Country | US
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Telephone | 614-439-5473
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RAYNARD A MILLER II
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Credential |
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Telephone | 614-439-5473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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