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General NPI Number Information
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NPI Number | 1952260184
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Entity Type | Organization
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Legal Business Name | WAVES OF LIFE LLC
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 1827 WARFIELD ST
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City | CHESAPEAKE
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State | VA
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Zip | 23324-2700
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Country | US
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Telephone | 757-362-8883
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Fax |
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Provider Business Mailing Address
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Address Line | 109G GAINSBOROUGH SQ # 134
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City | CHESAPEAKE
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State | VA
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Zip | 23320-1707
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Country | US
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Telephone | 757-362-8883
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Fax |
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Authorized Official
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Title or Position | CEO/FOUNDER
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Name | LA'TOYA HINES
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Credential | LCSW, CSAC, CSOTP
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Telephone | 757-362-8883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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