Provider Demographics
NPI:1649096512
Name:FLAMBOE COUNSELING, LLC
Entity type:Organization
Organization Name:FLAMBOE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REAGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FLAMBOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-252-0947
Mailing Address - Street 1:1702 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-7429
Mailing Address - Country:US
Mailing Address - Phone:605-252-0947
Mailing Address - Fax:605-725-2231
Practice Address - Street 1:2301 8TH AVE NE STE 135
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-3254
Practice Address - Country:US
Practice Address - Phone:605-252-0947
Practice Address - Fax:605-725-2231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty