Provider Demographics
NPI:1780058487
Name:RAPID CITY COUNSELING INC.
Entity type:Organization
Organization Name:RAPID CITY COUNSELING INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KEYSER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:605-431-4151
Mailing Address - Street 1:528 KANSAS CITY ST STE 5
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-5037
Mailing Address - Country:US
Mailing Address - Phone:605-299-9100
Mailing Address - Fax:605-250-5159
Practice Address - Street 1:528 KANSAS CITY ST STE 5
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-5037
Practice Address - Country:US
Practice Address - Phone:605-299-9100
Practice Address - Fax:605-250-5159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-18
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD20254101YM0800X, 261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty