Provider Demographics
NPI:1508274259
Name:BOER COUNSELING LLC
Entity Type:Organization
Organization Name:BOER COUNSELING LLC
Other - Org Name:SIOUX EMPIRE CHRISTIAN COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BOER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:605-271-0261
Mailing Address - Street 1:2000 S SYCAMORE AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57110-4263
Mailing Address - Country:US
Mailing Address - Phone:605-271-0261
Mailing Address - Fax:605-271-0263
Practice Address - Street 1:2000 S SYCAMORE AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57110-4263
Practice Address - Country:US
Practice Address - Phone:605-271-0261
Practice Address - Fax:605-271-0263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-25
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD18651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty