Provider Demographics
NPI:1396373981
Name:HORSE SENSE COUNSELING LLC
Entity Type:Organization
Organization Name:HORSE SENSE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILDER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-MH, QMHP, NCC
Authorized Official - Phone:605-431-3349
Mailing Address - Street 1:PO BOX 9503
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57709-9503
Mailing Address - Country:US
Mailing Address - Phone:605-431-3349
Mailing Address - Fax:
Practice Address - Street 1:2040 W MAIN ST STE 305
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-2447
Practice Address - Country:US
Practice Address - Phone:605-431-8492
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-30
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)