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Making Waves Mental Wellness, LLC

Nurse Practitioner, Psych/Mental Health in Spring Hill, TN. Organization (NPI-2).

NPI number1609720291
StatusActive
Last updated in NPPESFeb 23, 2026

Details

NPI
1609720291
Entity type
Organization (NPI-2)
Legal business name
Making Waves Mental Wellness, LLC
Organization subpart
No
Enumeration date
Feb 23, 2026
Certification date
Feb 23, 2026
Last updated
Feb 23, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental Health––Yes

Practice location

1310 Carmack Ct
Spring Hill, TN 37174-6104

Phone 309-299-4964

Mailing address

1310 Carmack Ct
Spring Hill, TN 37174-6104

Phone 309-299-4964

Authorized official

Emily Logan
Owner
3092994964

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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