Provider Demographics
NPI:1538696992
Name:BACH COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:BACH COUNSELING SERVICES, LLC
Other - Org Name:BACH COUNSELING
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:S MAHALA
Authorized Official - Middle Name:
Authorized Official - Last Name:BACH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-MH, QMHP
Authorized Official - Phone:605-431-4106
Mailing Address - Street 1:1575 N LACROSSE ST STE H
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-6969
Mailing Address - Country:US
Mailing Address - Phone:605-431-4106
Mailing Address - Fax:
Practice Address - Street 1:1575 N LACROSSE ST STE H
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-6969
Practice Address - Country:US
Practice Address - Phone:605-431-4106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)