| Amber Waves Therapy Pllc | |
|
2017 S Washington St Ste 3 Grand Forks ND 58201-6341 | |
| (701) 757-3338 | |
| (701) 738-1118 |
| Full Name | Amber Waves Therapy Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2017 S Washington St Ste 3, Grand Forks, North Dakota |
| Authorized Official Name and Position | Cassandra L Hovet (OWNER/THERAPIST) |
| Authorized Official Contact | 7013300945 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amber Waves Therapy Pllc 2017 S Washington St Ste 3 Grand Forks ND 58201-6341 Ph: (701) 757-3338 | Amber Waves Therapy Pllc 2017 S Washington St Ste 3 Grand Forks ND 58201-6341 Ph: (701) 757-3338 |
| NPI Number | 1962127555 |
|---|---|
| Provider Enumeration Date | 10/06/2022 |
| Last Update Date | 02/07/2024 |
| Certification Date | 02/07/2024 |
| Medicare PECOS PAC ID | 9335515980 |
|---|---|
| Medicare Enrollment ID | O20221021002315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962127555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cassandra L Hovet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861901175 PECOS PAC ID: 9436567187 Enrollment ID: I20210416001253 |
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