BLUE WAVES THERAPY LLC NPI 1326850801

NPI Information

  • NPI: 1326850801
  • Provider Name: BLUE WAVES THERAPY LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 4111E ROSE LAKE DR # 7888
    CHARLOTTE, NC
    ZIP 28217
  • Phone: (828) 278-8262

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NPI Details

BLUE WAVES THERAPY LLC is a mental health (including community mental health center) clinic center in Charlotte, NC. BLUE WAVES THERAPY LLC NPI is 1326850801. The provider is registered as an organization entity type.

The provider's business location address is:

4111E ROSE LAKE DR # 7888
CHARLOTTE, NC
ZIP 28217-858
Phone: (828) 278-8262

The provider's authorized official is Danielle Kim .
The authorized official title is Owner and has the following contact phone number (828) 448-4366.

The enumeration date for this NPI number is 1/22/2025 and was last updated on 1/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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