| Belle Fourche Counseling - Llc | |
|
515 National St Ste 103 Belle Fourche SD 57717-1833 | |
| (605) 722-8090 | |
| (605) 722-8090 |
| Full Name | Belle Fourche Counseling - Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 515 National St Ste 103, Belle Fourche, South Dakota |
| Authorized Official Name and Position | Kayla Grams (THERAPIST/OWNER) |
| Authorized Official Contact | 6057228090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Belle Fourche Counseling - Llc 515 National St Ste 103 Belle Fourche SD 57717-1833 Ph: (605) 722-8090 | Belle Fourche Counseling - Llc 515 National St Ste 103 Belle Fourche SD 57717-1833 Ph: (605) 722-8090 |
| NPI Number | 1215476577 |
|---|---|
| Provider Enumeration Date | 02/20/2017 |
| Last Update Date | 08/13/2024 |
| Certification Date | 07/24/2024 |
| Medicare PECOS PAC ID | 5496294530 |
|---|---|
| Medicare Enrollment ID | O20240903002921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215476577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC7394 (South Dakota) | Primary |
| Provider Name | Kayla Brooke Grams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134589617 PECOS PAC ID: 7214476365 Enrollment ID: I20240910003539 |
| Provider Name | Crystal Hanson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033597265 PECOS PAC ID: 7012449770 Enrollment ID: I20241018001923 |