| Waves Of Change Counseling Services, Llc | |
|
20730 Holyoke Ave Suite 137 Lakeville MN 55044-9826 | |
| (612) 567-0278 | |
| Not Available |
| Full Name | Waves Of Change Counseling Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 20730 Holyoke Ave, Lakeville, Minnesota |
| Authorized Official Name and Position | Bryn Taylor (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 6125670278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waves Of Change Counseling Services, Llc Po Box 366 Lakeville MN 55044-0366 Ph: (612) 567-0278 | Waves Of Change Counseling Services, Llc 20730 Holyoke Ave Suite 137 Lakeville MN 55044-9826 Ph: (612) 567-0278 |
| NPI Number | 1780009852 |
|---|---|
| Provider Enumeration Date | 02/26/2014 |
| Last Update Date | 02/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780009852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 01373 (Minnesota) | Primary |
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