SLATE CREEK COUNSELING PC NPI 1104950195

NPI Information

NPI: 1104950195
Provider Name: SLATE CREEK COUNSELING PC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
319 COTEAU ST
PIERRE, SD
ZIP 57501
Phone: (605) 220-1093
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SLATE CREEK COUNSELING PC is a professional counselor in Pierre, SD. SLATE CREEK COUNSELING PC NPI is 1104950195. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

319 COTEAU ST
PIERRE, SD
ZIP 57501-187
Phone: (605) 220-1093

The provider's authorized official is Jonathan Rapp .
The authorized official title is President and has the following contact phone number (605) 484-9679.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 12/3/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			Yes
2	251S00000X	Community/Behavioral Health				No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6571170	MEDICAID	SOUTH 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

NPI Synchronization or Removal

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