Provider Demographics
NPI:1043718679
Name:MAKE IT HAPPEN COUNSELING
Entity Type:Organization
Organization Name:MAKE IT HAPPEN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:KERRI
Authorized Official - Middle Name:DELAYNE
Authorized Official - Last Name:KINZELL
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, CSW-PIP
Authorized Official - Phone:605-490-7911
Mailing Address - Street 1:824 1ST ST
Mailing Address - Street 2:
Mailing Address - City:STURGIS
Mailing Address - State:SD
Mailing Address - Zip Code:57785-1230
Mailing Address - Country:US
Mailing Address - Phone:605-490-7911
Mailing Address - Fax:
Practice Address - Street 1:824 1ST ST
Practice Address - Street 2:
Practice Address - City:STURGIS
Practice Address - State:SD
Practice Address - Zip Code:57785-1230
Practice Address - Country:US
Practice Address - Phone:605-490-7911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-29
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD31291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty