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General NPI Number Information
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NPI Number | 1285414953
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Entity Type | Organization
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Legal Business Name | WAVES OF HOPE, LLC
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Dates
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Enumeration Date | 10/02/2023
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 265 N FINDLEY ST STE D
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City | PUNXSUTAWNEY
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State | PA
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Zip | 15767-2064
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Country | US
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Telephone | 814-935-9019
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Fax | 814-954-1550
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Provider Business Mailing Address
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Address Line | 265 N FINDLEY ST STE D
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City | PUNXSUTAWNEY
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State | PA
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Zip | 15767-2064
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Country | US
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Telephone | 814-935-9019
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Fax | 814-954-1550
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | GINA HETRICK
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Credential | LPC
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Telephone | 814-935-9019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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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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