Horseplay Productions Healing Center, Inc. | |
1101 E. Philadelphia Street Rapid City SD 57701 | |
(805) 343-1620 | |
(605) 343-1629 |
Full Name | Horseplay Productions Healing Center, Inc. |
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Speciality | Counselor - Mental Health |
Location | 1101 E. Philadelphia Street, Rapid City, South Dakota |
Authorized Official Name and Position | Shari Lynn Bradstream (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6053431620 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Horseplay Productions Healing Center, Inc. Po Box 276 Rapid City SD 57709-0276 Ph: (805) 343-1620 | Horseplay Productions Healing Center, Inc. 1101 E. Philadelphia Street Rapid City SD 57701 Ph: (805) 343-1620 |
NPI Number | 1841507142 |
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Provider Enumeration Date | 09/08/2010 |
Last Update Date | 09/08/2010 |
Identifier | Type | State | Issuer |
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1841507142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 102274 (South Dakota) | Secondary |
101YM0800X | Counselor - Mental Health | LPC1102 (South Dakota) | Primary |
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