Provider Demographics
NPI:1881044782
Name:MEDICINE VOICE HEALING CENTER
Entity Type:Organization
Organization Name:MEDICINE VOICE HEALING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIALLE
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:605-745-5251
Mailing Address - Street 1:1738 ALBANY AVE
Mailing Address - Street 2:STE 2
Mailing Address - City:HOT SPRINGS
Mailing Address - State:SD
Mailing Address - Zip Code:57747-2100
Mailing Address - Country:US
Mailing Address - Phone:605-745-5251
Mailing Address - Fax:605-745-6813
Practice Address - Street 1:1738 ALBANY AVE
Practice Address - Street 2:STE 2
Practice Address - City:HOT SPRINGS
Practice Address - State:SD
Practice Address - Zip Code:57747-2100
Practice Address - Country:US
Practice Address - Phone:605-745-5251
Practice Address - Fax:605-745-6813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-21
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD16831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty