Provider Demographics
NPI:1275299463
Name:CALLAGHAN COUNSELING LLC
Entity Type:Organization
Organization Name:CALLAGHAN COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TRISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALLAGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW-PIP, QMHP
Authorized Official - Phone:661-779-6282
Mailing Address - Street 1:5010 E ROSA PARKS PL STE 101
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57110-3090
Mailing Address - Country:US
Mailing Address - Phone:661-779-6282
Mailing Address - Fax:
Practice Address - Street 1:5010 E ROSA PARKS PL STE 101
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57110-3090
Practice Address - Country:US
Practice Address - Phone:605-661-8408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-11
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty