Amanda Bahr, MS, LMFT
Individual provider Active NPI Marriage & Family Therapist · Fargo, ND
NPI 1154896314 · NPPES record last updated May 16, 2023
Key facts
- NPI
- 1154896314
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 2018-067 (ND)
- Practice address
- 1128 Westrac Dr S Ste a
Fargo, ND 58103-8729 - Phone
- (701) 561-1177
- NPI assigned
- Oct 3, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3687 | MN | MD | Marriage & Family Therapist |
| 2018-067 | ND | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 3687 | MN | |
| Marriage & Family Therapist | 106H00000X | 2018-067 | ND | Yes |
Addresses
Primary practice location
1128 Westrac Dr S Ste a
Fargo, ND 58103-8729
Mailing address
1128 Westrac Dr S Ste a
Fargo, ND 58103-8729
Phone (701) 561-1177
Other names
- Amanda Bulat
Other providers in Fargo, ND
- Megan Badinger
- Brooke A Badjie
- Steven M Bagan
- Eunkyung Michelle Bahn
- Jordan Bahnsen
- Amanda Baier
- Ashley Bailey
- David A Bailey
- Richard C Bailly
- John Robert Baird
All providers in Fargo, ND · Marriage & Family Therapist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.