Ripples of Change
Organization Active NPI Community/Behavioral Health Agency · Marriottsville, MD
NPI 1194120139 · NPPES record last updated Nov 4, 2014
Key facts
- NPI
- 1194120139
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- LGP5164 (MD)
- Legal business name
- RIPPLES OF CHANGE
- Practice address
- 11265 Dovedale CT
Marriottsville, MD 21104-1644 - Phone
- (410) 207-6687
- NPI assigned
- Nov 4, 2014
- Organization subpart
- No
Authorized official
- Name
- Kendra Benesch, LGPC
- Title
- Owner
- Phone
- (410) 207-6687
Practitioners 1
-
Kendra Benesch, LCPC
National Provider Directory
Locations
11265 Dovedale Ct
Marriottsville, MD 21104
Phone (410) 207-6687
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LGP5164 | MD | Yes |
Addresses
Primary practice location
11265 Dovedale CT
Marriottsville, MD 21104-1644
Mailing address
PO Box 220
Finksburg, MD 21048-0220
Other providers in Marriottsville, MD
- Progressive Physical Therapy, LLC
- Progressive Physical Therapy, LLC
- Alvaro Francisco Ramos-Solis
- Rest Assured Sleep Centers, LLC
- Randal Paul Riesett
- Roschella and Zinger DDS PA
- Danielle Santucci
- Lindsay Sarno
- Jordan Schmidt
- Jennifer Lynn Schoo
All providers in Marriottsville, MD · Community/Behavioral Health Agency in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2014. 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.