Provider Demographics
NPI:1245116789
Name:CALMING WAVES THERAPY PLLC
Entity type:Organization
Organization Name:CALMING WAVES THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:IBACH
Authorized Official - Suffix:
Authorized Official - Credentials:LMAC, LCSW
Authorized Official - Phone:701-204-3308
Mailing Address - Street 1:2910 E BROADWAY AVE STE 38
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-5162
Mailing Address - Country:US
Mailing Address - Phone:701-204-3308
Mailing Address - Fax:
Practice Address - Street 1:2910 E BROADWAY AVE STE 38
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-5162
Practice Address - Country:US
Practice Address - Phone:701-204-3308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty