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1316889504 NPI number — WAVES OF LIFE COUNSELING & CONSULTING, PLLC.

NPI Number: 1316889504
Health Care Provider/Practitioner: WAVES OF LIFE COUNSELING & CONSULTING, PLLC.

Information about “1316889504” NPI (WAVES OF LIFE COUNSELING & CONSULTING, PLLC.) exists in 1316889504 in HTML format HTML  |  1316889504 in plain Text format TXT  |  1316889504 in PDF (Portable Document Format) PDF  |  1316889504 in an XML format XML  formats.

NPI Number : 1316889504 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316889504",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WAVES OF LIFE COUNSELING & CONSULTING, PLLC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5900 BALCONES DR STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AUSTIN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78731-4298",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3901 ARLINGTON HIGHLANDS BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ARLINGTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76018-6036",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "214-444-3053",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/07/2026",
    "LastUpdateDate": "04/07/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SHOEMAKER",
    "AuthorizedOfficialFirstName": "JAKEITHA",
    "AuthorizedOfficialMiddleName": "RASHA",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "832-984-1777",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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