Provider Demographics
NPI:1477112399
Name:RB COUNSELING SERVICE LLC
Entity Type:Organization
Organization Name:RB COUNSELING SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:R
Authorized Official - Last Name:VIGIL
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:701-224-1615
Mailing Address - Street 1:433 E BISMARCK EXPY STE 3
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58504-6500
Mailing Address - Country:US
Mailing Address - Phone:701-224-1615
Mailing Address - Fax:
Practice Address - Street 1:433 E BISMARCK EXPY STE 3
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58504-6500
Practice Address - Country:US
Practice Address - Phone:701-224-1615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty