Provider Demographics
NPI:1891290458
Name:BURROUGHS COUNSELING AND CONSULTATION, LLC
Entity Type:Organization
Organization Name:BURROUGHS COUNSELING AND CONSULTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:BURROUGHS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:605-759-4117
Mailing Address - Street 1:2406 N WRIGHT AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57107-2067
Mailing Address - Country:US
Mailing Address - Phone:605-759-4117
Mailing Address - Fax:
Practice Address - Street 1:5032 S BUR OAK PL STE 217
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-2244
Practice Address - Country:US
Practice Address - Phone:605-759-4117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty