THREE RIVERS MENTAL HEALTH AND CHEMICAL DEPENDENCY CENTER NPI 1811001985

NPI Information

NPI: 1811001985
Provider Name: THREE RIVERS MENTAL HEALTH AND CHEMICAL DEPENDENCY CENTER

Doing Business As: THREE RIVERS COUNSELING

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
11 EAST 4TH STREET
LEMMON, SD
ZIP 57638
Phone: (605) 374-3862
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THREE RIVERS MENTAL HEALTH AND CHEMICAL DEPENDENCY CENTER is a mental health counselor in Lemmon, SD. THREE RIVERS MENTAL HEALTH AND CHEMICAL DEPENDENCY CENTER NPI is 1811001985. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Three Rivers Counseling.

The provider's business location address is:

11 EAST 4TH STREET
LEMMON, SD
ZIP 57638-447
Phone: (605) 374-3862
Fax: (605) 374-3864

The provider's authorized official is Laurie Berg .
The authorized official title is Billing Manager and has the following contact phone number (605) 374-3862.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 1/8/2024.

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	101YM0800X	Counselor	Mental Health	1162	SOUTH DAKOTA	No
2	101YM0800X	Counselor	Mental Health	1082	SOUTH DAKOTA	No
3	101YM0800X	Counselor	Mental Health	1948	SOUTH DAKOTA	No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
5	101YM0800X	Counselor	Mental Health	LPC1098	SOUTH DAKOTA	Yes

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	0003226	OTHER	SOUTH DAKOTA	BCBS GROUP PROVIDER #
2	1234567	OTHER	SOUTH DAKOTA	JASON LILLICH
3	4994184	OTHER	SOUTH DAKOTA	MIKKI KENNEDY-HAINES ID#

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: 5/5/2024

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