NEW WAVE COUNSELING SERVICES, LLC (NPI# 1649896770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649896770 |
| Entity Type | Organization |
| Organization Name | NEW WAVE COUNSELING SERVICES, LLC |
| Practice Address |
175 Guiomar Rd Cordova SC 29039-9344 |
| Practice Telephone | 8038603223 |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |
| Authorized Official Name | ZENDREA GOVAN (COUNSELOR) |
| Authorized Official Telephone | 8038603223 |
| Authorized Official Credential | LISW-CP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
175 GUIOMAR RD |
| City | CORDOVA |
| State | SC |
| Zip Code | 29039-9344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134523319 | Constantinha Charron | Registered Nurse | 142 Mandy Rd, Cordova, SC 29039 | 2014-10-16 |
| 1720136377 | Shirlain J Darby | Speech-Language Pathologist | 107 Guiomar Road, Cordova, SC 29039-9344 | 2007-01-08 |
| 1013470285 | Justin Jackson | Physical Therapy Assistant | 22 Eugenia Ct, Cordova, SC 29039-9635 | 2019-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355390 | Delia M. Reyes | Nurse Practitioner | 705 2nd St., Cordova, AK 99574 | 2020-10-29 |
| 1376143289 | Rachel Slovsky | Behavior Technician | 8350 Walnut Grove Rd, Cordova, TN 38018-7392 | 2020-10-29 |
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1437757960 | Stephanie Cook | Nurse Practitioner | 8532 Wood Mills Dr W, Cordova, TN 38016-6169 | 2020-10-16 |
| 1922606953 | Latonya Rochelle Addison | Licensed Practical Nurse | 8855 N Cortona Cir, Cordova, TN 38018-6978 | 2020-10-12 |
| 1144836404 | Walter J. Green | Counselor | 1120 Mossy Knoll Dr, Cordova, TN 38018-6671 | 2020-09-21 |
| 1548876303 | Kimberly Hearon | Registered Nurse | 6890 Lagrange Grove Dr, Cordova, TN 38018-2875 | 2020-09-17 |
| 1215543251 | Kenyatta Pugh | Home Health Aide | 1176 Vickery Ln Ste 200, Cordova, TN 38016-0631 | 2020-09-16 |
| 1063027043 | Marisa Cozine | Speech-Language Pathologist | 7837 Elmington Dr Apt 208, Cordova, TN 38018-2237 | 2020-09-15 |
| Find all providers in CORDOVA | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235537416 | Jennifer Taylor Play Therapy Services LLC | Community/Behavioral Health | 879 Willow Tree Cir, Suite 102, Cordova, TN 38018-3121 | 2014-12-19 |
| 1316258411 | Quality Behavioral Interventions and Consulting, LLC | Community/Behavioral Health | 1017 Cordova Ridge Pl, Cordova, TN 38018-0103 | 2010-06-24 |
| 1982757316 | Transformation Center for Women LLC | Community/Behavioral Health | 1088 Rogers Road, Cordova, TN 38018 | 2007-01-19 |
| 1720696719 | Laken Leeann Chism | Community/Behavioral Health | 8500 Walnut Grove Rd, Cordova, TN 38018-7392 | 2020-07-16 |
| 1740672799 | The Parker Firm LLC | Community/Behavioral Health | 7203 Mccleskey Cv, Cordova, TN 38018-5688 | 2015-02-28 |
| 1033540943 | Julie Demarco,bcba | Community/Behavioral Health | 8284 Clinton Way Ln, Cordova, TN 38018-6305 | 2013-12-02 |
| 1740580182 | Shallis Michelle Gonda | Community/Behavioral Health | 1155 Cully Rd, Cordova, TN 38018-8502 | 2010-11-02 |
| 1386899300 | Cordova Psychiatric Associates | Community/Behavioral Health | 8289 Cordova Rd #106, Cordova, TN 38016 | 2008-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403116 | Pieces 2 Peace Wellness Center, LLC | Community/Behavioral Health | 1105 Belleview St Ste 103, Columbia, SC 29201-1839 | 2020-10-01 |
| 1215541669 | Myndspace Mental Health Education & Consulting, LLC | Community/Behavioral Health | 111 Bantry Cir, Charleston, SC 29414-8089 | 2020-09-03 |
| 1861005431 | Legacy Counseling and Consulting of South Carolina | Community/Behavioral Health | 62 Bridgeway Dr, Laurens, SC 29360-7452 | 2020-08-24 |
| 1093325953 | B & H Consultants LLC | Community/Behavioral Health | 1965 Baggette Rd, Manning, SC 29102-7643 | 2020-08-05 |
| 1871116517 | Transcendence Treatment Center, LLC | Community/Behavioral Health | 3900 Leeds Ave Ste 101, North Charleston, SC 29405-7461 | 2020-05-28 |
| 1710507090 | Adahsa Counseling LLC | Community/Behavioral Health | 200 Eascott Pl, Columbia, SC 29229-5502 | 2020-04-16 |
| 1740809862 | Brsi Lp | Community/Behavioral Health | 8901 Farrow Rd, Columbia, SC 29203-8930 | 2020-04-09 |
| 1881224954 | Kimberly Lynette Merritts | Community/Behavioral Health | 1550 N Williston Rd, Florence, SC 29506-8744 | 2020-01-17 |
| 1790324986 | Bransand | Community/Behavioral Health | 402 Nautique Cir, Columbia, SC 29229-7334 | 2020-01-05 |
| 1427696095 | The Triumphant Academy | Community/Behavioral Health | 6109 Calaboose Ln, Fort Mill, SC 29707-1569 | 2019-12-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.