| Ripple Effect Therapy Services Llc | |
|
94-229 Waipahu Depot St Ste 401 Waipahu HI 96797-3034 | |
| (808) 746-7162 | |
| Not Available |
| Full Name | Ripple Effect Therapy Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 94-229 Waipahu Depot St Ste 401, Waipahu, Hawaii |
| Authorized Official Name and Position | Amanda Calnan (MANAGER) |
| Authorized Official Contact | 8087467162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ripple Effect Therapy Services Llc 94-229 Waipahu Depot St Ste 401 Waipahu HI 96797-3034 Ph: () - | Ripple Effect Therapy Services Llc 94-229 Waipahu Depot St Ste 401 Waipahu HI 96797-3034 Ph: (808) 746-7162 |
| NPI Number | 1881373306 |
|---|---|
| Provider Enumeration Date | 07/12/2023 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/31/2023 |
| Medicare PECOS PAC ID | 8628420569 |
|---|---|
| Medicare Enrollment ID | O20240117000540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881373306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Amanda Calnan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679105290 PECOS PAC ID: 0143672048 Enrollment ID: I20240116003785 |
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