| Living Lightly Mental Health Llc | |
|
115 N 7th St Ste 4 Spearfish SD 57783-2710 | |
| (605) 641-2661 | |
| Not Available |
| Full Name | Living Lightly Mental Health Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 115 N 7th St Ste 4, Spearfish, South Dakota |
| Authorized Official Name and Position | Rachel Pettersen (OWNER/PROVIDER) |
| Authorized Official Contact | 6056412661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Lightly Mental Health Llc 115 N 7th St Ste 4 Spearfish SD 57783-2710 Ph: (605) 641-2661 | Living Lightly Mental Health Llc 115 N 7th St Ste 4 Spearfish SD 57783-2710 Ph: (605) 641-2661 |
| NPI Number | 1104665454 |
|---|---|
| Provider Enumeration Date | 05/24/2024 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104665454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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