Provider Demographics
NPI:1134945280
Name:SAGE COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:SAGE COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:GLOOR
Authorized Official - Suffix:
Authorized Official - Credentials:LPCMH, LAC
Authorized Official - Phone:605-582-4722
Mailing Address - Street 1:700 S 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:SD
Mailing Address - Zip Code:57005-1772
Mailing Address - Country:US
Mailing Address - Phone:605-582-4722
Mailing Address - Fax:
Practice Address - Street 1:700 S 8TH AVE
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:SD
Practice Address - Zip Code:57005-1772
Practice Address - Country:US
Practice Address - Phone:605-582-4722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-22
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty