Organization · Type 2 NPI

Brain Waves of Change, LLC

Mental Health Counselor · St. Petersburg, FL

NPI number 1376203513 Active

Practice location

7901 4th St N Ste 300
St. Petersburg, FL 33702-4399

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1376203513

Brain Waves of Change, LLC's National Provider Identifier is 1376203513, issued on Dec 29, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Petersburg, FL. The record was last updated on Sep 10, 2026.