Provider Demographics
NPI:1033783840
Name:PRAIRIE VIEW COUNSELING LLC
Entity Type:Organization
Organization Name:PRAIRIE VIEW COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LPC-MH
Authorized Official - Prefix:
Authorized Official - First Name:ELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:APPLETOFT-KNIE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-MH
Authorized Official - Phone:605-725-2230
Mailing Address - Street 1:2301 8TH AVE NE STE 135
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-3254
Mailing Address - Country:US
Mailing Address - Phone:605-725-2230
Mailing Address - Fax:
Practice Address - Street 1:2301 8TH AVE NE STE 135
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-3254
Practice Address - Country:US
Practice Address - Phone:605-725-2230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-17
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDLPC-MH20375OtherSD DEPARTMENT OF HEALTH
SDLPC20174OtherSD DEPARTMENT OF HEALTH