MEDICARE: WHITE WAVES COUNSELING AND CONSULTING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1427916378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHITE WAVES COUNSELING AND CONSULTING, PLLC

Provider Business Mailing Address
First Line	:	5507 E EVANS RD STE 104-321
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78261-2023
Country	:	US
Telephone Number	:	210-901-8982
Fax Number	:

Provider Business Practice Location Address
First Line	:	1380 PANTHEON WAY STE 210
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-2343
Country	:	US
Telephone Number	:	210-901-8982
Fax Number	:

Authorized Official
Title or Position	:	PRACTICE OWNER
Name	:	JENNIFER WILLBORN TORRES
Credential	:	LPC, NCC
Telephone Number	:	210-901-8983

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	03/05/2026

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