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PAIN SOLUTIONS LLC NPI 1407949084


NPI Information

NPI: 1407949084
Provider Name: PAIN SOLUTIONS, LLC

Former Legal Business Name: LIFE WITHOUT BOUNDARIES

Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
2404 JACKSON BLVD
RAPID CITY, SD
ZIP 57702
Phone: (605) 737-0769
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PAIN SOLUTIONS, LLC is a counselor in Rapid City, SD. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. PAIN SOLUTIONS, LLC NPI is 1407949084. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Life Without Boundaries.

The provider's business location address is:

2404 JACKSON BLVD
RAPID CITY, SD
ZIP 57702-450
Phone: (605) 737-0769
Fax: (605) 721-1196

The provider's authorized official is Susan Chamberlain Hayman .
The authorized official title is Director and has the following contact phone number (605) 737-0769.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorSD LPC-MH 2081SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16575560MEDICAIDSOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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