Provider Demographics
NPI:1437904729
Name:ACCORD COUNSELING LLC.
Entity Type:Organization
Organization Name:ACCORD COUNSELING LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBECK
Authorized Official - Suffix:
Authorized Official - Credentials:MA, ACT
Authorized Official - Phone:605-484-7751
Mailing Address - Street 1:5856 DERRINGER RD
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57703-9054
Mailing Address - Country:US
Mailing Address - Phone:605-484-7751
Mailing Address - Fax:
Practice Address - Street 1:5856 DERRINGER RD
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57703-9054
Practice Address - Country:US
Practice Address - Phone:605-484-7751
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder