OrganizationActive
Waves of Change Psychotherapy PLLC
NPI 1639768245 · Marriage & Family Therapist · Fargo, ND
Provider details
- NPI number
- 1639768245
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Amanda Bahr, Owner(701) 561-1177
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1128 Westrac Dr S Ste a
Fargo, ND 58103-8729
Phone: (701) 561-1177
Approximate (ZIP-level) locationGet directions
Mailing address
1128 Westrac Dr S Ste a
Fargo, ND 58103-8729
Registry dates
- Enumerated
- 2021-01-18
- Last updated
- 2021-02-15
- Certified
- 2021-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.