Organization
RIPPLE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY FIELDS (EXECUTIVE ADMINISTRATOR)
(606) 202-3424
Entity
Organization
Contact information
Practice address
401 WOOD ST, TEXARKANA, AR 71854-5938
(606) 202-3424
Mailing address
1303 HAZEL ST, TEXARKANA, TX 75501
(606) 202-3424
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/29/2024
Last updated
11/29/2024
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