| Red Horse Healing | |
|
3315 S Valley Dr Rapid City SD 57703-5944 | |
| (605) 441-2038 | |
| Not Available |
| Full Name | Red Horse Healing |
|---|---|
| Speciality | Counselor |
| Location | 3315 S Valley Dr, Rapid City, South Dakota |
| Authorized Official Name and Position | Bridget Theresa Williams (MENTAL HEALTH THERAPIST/OWNER) |
| Authorized Official Contact | 6054412038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Horse Healing Po Box 125 Piedmont SD 57769-0125 Ph: (605) 441-2038 | Red Horse Healing 3315 S Valley Dr Rapid City SD 57703-5944 Ph: (605) 441-2038 |
| NPI Number | 1992240329 |
|---|---|
| Provider Enumeration Date | 12/20/2016 |
| Last Update Date | 06/21/2024 |
| Certification Date | 06/21/2024 |
| Medicare PECOS PAC ID | 0244772721 |
|---|---|
| Medicare Enrollment ID | O20240612001715 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992240329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LPC-MH2315 (South Dakota) | Primary |
| Provider Name | Bridget Theresa Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669914115 PECOS PAC ID: 1153863634 Enrollment ID: I20240702002975 |
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