Provider Demographics
NPI:1427588532
Name:KNUPPE COUNSELING, LLC
Entity Type:Organization
Organization Name:KNUPPE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRISCELL
Authorized Official - Middle Name:
Authorized Official - Last Name:KNUPPE
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:605-390-7055
Mailing Address - Street 1:2650 JACKSON BLVD # 11
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-3474
Mailing Address - Country:US
Mailing Address - Phone:605-390-7055
Mailing Address - Fax:
Practice Address - Street 1:2650 JACKSON BLVD # 11
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-3474
Practice Address - Country:US
Practice Address - Phone:605-390-7055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-13
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty