Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wavelengths Recovery

Organization Counselor · NPI 1174146658

Wavelengths Recovery is a Counselor in Petaluma, California. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
8

Practice location Address checks out

6 Petaluma Blvd N Ste A7
Petaluma, CA 94952-3027
Phone: (714) 312-1011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6 Petaluma Blvd N Ste A8, Petaluma, CA 94952-3027 — (714) 312-1011

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X
Counselor Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X
Group Psychotherapy Psychologist Taxonomy 103TP2701X
Rehabilitation Counselor Taxonomy 225C00000X
Comprehensive Outpatient Rehabilitation Facility (CORF) Taxonomy 261QR0401X

Record details

NPI number1174146658
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Warren Boyd — Ceo · (714) 642-2404
NPI enumeratedMay 19, 2020
Last updated in NPPESMay 19, 2020
Certification dateMay 19, 2020
Mailing address301 Main St Ste 201, Huntington Beach, CA 92648-5171

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