Waves of Change Psychotherapy PLLC
Organization Active NPI Marriage & Family Therapist · Fargo, ND
NPI 1639768245 · NPPES record last updated Feb 15, 2021
Key facts
- NPI
- 1639768245
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Legal business name
- WAVES OF CHANGE PSYCHOTHERAPY PLLC
- Practice address
- 1128 Westrac Dr S Ste a
Fargo, ND 58103-8729 - Phone
- (701) 561-1177
- NPI assigned
- Jan 18, 2021
- Organization subpart
- No
Authorized official
- Name
- Amanda Bahr
- Title
- Owner
- Phone
- (701) 561-1177
National Provider Directory
Locations
1128 Westrac Dr S
Ste A
Fargo, ND 58103
Phone (701) 490-6812
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist |
106H00000X | 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
Other providers in Fargo, ND
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- Deitra Ann Watson
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- Autumn Waverek
- Theresa Cheryl Wavrin
- Way of Life
- Elizabeth Kathryn Wayne
- Kari Wayne
- Kathryn Taylor Wayt
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 Feb 15, 2021. 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.