Provider Demographics
NPI:1013116508
Name:VISION QUEST COUNSELING CENTER
Entity type:Organization
Organization Name:VISION QUEST COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:D
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:605-641-1843
Mailing Address - Street 1:961 1/2 MAIN STREET
Mailing Address - Street 2:VISION QUEST COUNSELING CENTER
Mailing Address - City:STURGIS
Mailing Address - State:SD
Mailing Address - Zip Code:57785-1620
Mailing Address - Country:US
Mailing Address - Phone:605-641-1843
Mailing Address - Fax:605-716-1002
Practice Address - Street 1:961 1/2 MAIN ST
Practice Address - Street 2:VISION QUEST COUNSELING CENTER
Practice Address - City:STURGIS
Practice Address - State:SD
Practice Address - Zip Code:57785-1620
Practice Address - Country:US
Practice Address - Phone:605-641-1843
Practice Address - Fax:605-716-1002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC7006251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health