Provider Demographics
NPI:1750473070
Name:HORSE NATION HEALING, INC.
Entity Type:Organization
Organization Name:HORSE NATION HEALING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:CHASE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW-PIP
Authorized Official - Phone:605-923-6466
Mailing Address - Street 1:15088 220TH ST.
Mailing Address - Street 2:
Mailing Address - City:BOX ELDER
Mailing Address - State:SD
Mailing Address - Zip Code:57719
Mailing Address - Country:US
Mailing Address - Phone:605-923-6466
Mailing Address - Fax:605-923-6466
Practice Address - Street 1:37 N 5TH ST.
Practice Address - Street 2:
Practice Address - City:CUSTER
Practice Address - State:SD
Practice Address - Zip Code:57730
Practice Address - Country:US
Practice Address - Phone:605-431-1927
Practice Address - Fax:605-923-6466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD21031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD6571340Medicaid
SDS100891Medicare ID - Type UnspecifiedMENTAL HEALTH PROVIDER