Look up the most recent NPI and PECOS records

Waves Of Life Counseling

Marriage & Family Therapist

Behavioral Health & Social Service Providers

12530 Hesperia Rd Ste 110, Victorville, CA 92395-5848

PECOS Enrollment

Based on the most recent information from CMS, provider Waves Of Life Counseling does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1740080589
Provider Type
Organization
Full Name
Waves Of Life Counseling

Subpart
No
Enumeration Date
3/18/2025
Last Updated
10/14/2025

Contact Information

Practice Location

12530 Hesperia Rd Ste 110, Victorville, CA 92395-5848

(909) 848-6731

Unlisted Fax

Mailing Location

12530 Hesperia Rd Ste 110, Victorville, CA 92395-5848

(909) 848-6731

Unlisted Fax

Authorized Official

Atwater, Desiree Yasmine (Ceo, Secretary, Clinician)

(909) 848-6731

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer

Waves Of Life Counseling

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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