WELLSPRING INC. NPI 1891823332

NPI Information

NPI: 1891823332
Provider Name: WELLSPRING INC.

Other Name: SOARING EAGLE TREATMENT CENTER

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
117 KNOLLWOOD DR
RAPID CITY, SD
ZIP 57701
Phone: (605) 718-4870
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WELLSPRING INC. is an addiction (substance use disorder) counselor in Rapid City, SD. WELLSPRING INC. NPI is 1891823332. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Soaring Eagle Treatment Center.

The provider's business location address is:

117 KNOLLWOOD DR
RAPID CITY, SD
ZIP 57701-693
Phone: (605) 718-4870
Fax: (605) 718-4878

The provider's authorized official is Carla Sue Dennis .
The authorized official title is Clinical Supervisor and has the following contact phone number (605) 718-4870.

The enumeration date for this NPI number is 2/28/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)		SOUTH DAKOTA	Yes
2	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		R72 97406	SOUTH DAKOTA	X
3	324500000X	Substance Abuse Rehabilitation Facility			SOUTH DAKOTA	X
4	2084P0800X	Psychiatry & Neurology	Psychiatry	1887	SOUTH DAKOTA	X

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
1	5005082	MEDICAID	SOUTH DAKOTA
2	7100744	MEDICAID	SOUTH DAKOTA
3	5005080	MEDICAID	SOUTH DAKOTA
4	5160320	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

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