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NPI 1851273429

NPI 1851273429 : LIFE WAVES COUNSELING AND MEDIATION : KING OF PRUSSIA, PA

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General NPI Number Information
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    NPI Number           |    1851273429
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    Entity Type          |    Organization 
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    Legal Business Name  |    LIFE WAVES COUNSELING AND MEDIATION 
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Dates
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    Enumeration Date     |    07/23/2025
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    Last Update Date     |    07/23/2025
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Provider Practice Location Address
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    Address Line         |    150 S WARNER RD STE 130 
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    City                 |    KING OF PRUSSIA
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    State                |    PA
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    Zip                  |    19406-2826
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    Country              |    US
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    Telephone            |    484-715-8569
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2580 SWAMP PIKE 
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    City                 |    POTTSTOWN
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    State                |    PA
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    Zip                  |    19464-1119
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    Country              |    US
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    Telephone            |    484-369-1412
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     EMILY  BRITCHER 
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    Credential           |    LCSW
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    Telephone            |    484-715-8569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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