| Stronghold Counseling Services Inc | |
|
4300 S Louise Ave Ste 201 Sioux Falls SD 57106-3124 | |
| (605) 334-7713 | |
| (605) 334-5348 |
| Full Name | Stronghold Counseling Services Inc |
|---|---|
| Speciality | Counselor |
| Location | 4300 S Louise Ave Ste 201, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Lorri Chambers (OWNER) |
| Authorized Official Contact | 6053347713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stronghold Counseling Services Inc 4300 S Louise Ave Ste 201 Sioux Falls SD 57106-3124 Ph: (605) 334-7713 | Stronghold Counseling Services Inc 4300 S Louise Ave Ste 201 Sioux Falls SD 57106-3124 Ph: (605) 334-7713 |
| NPI Number | 1093790891 |
|---|---|
| Provider Enumeration Date | 12/14/2005 |
| Last Update Date | 11/20/2020 |
| Certification Date | 11/20/2020 |
| Medicare PECOS PAC ID | 3375642440 |
|---|---|
| Medicare Enrollment ID | O20091214000759 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093790891 | NPI | - | NPPES |
| 4998513 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Constance Spicero |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295708741 PECOS PAC ID: 3870503584 Enrollment ID: I20060426000116 |
| Provider Name | Amanda B Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922396027 PECOS PAC ID: 6800069600 Enrollment ID: I20111021000411 |
| Provider Name | Sheri C Short |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023070844 PECOS PAC ID: 4385748615 Enrollment ID: I20140205000653 |
| Provider Name | Brennan L Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992180178 PECOS PAC ID: 0446567432 Enrollment ID: I20150924000493 |
| Provider Name | Elizabeth Crabtree |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952549628 PECOS PAC ID: 1355689738 Enrollment ID: I20201210002586 |
| Provider Name | John R Sivesind |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689865081 PECOS PAC ID: 0941341101 Enrollment ID: I20211103000654 |
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