Journey For Change LLC
Counselor, Mental Health in Rapid City, SD. Organization (NPI-2).
NPI number1366176992
StatusActive
Last updated in NPPESJul 11, 2022
Details
- NPI
- 1366176992
- Entity type
- Organization (NPI-2)
- Legal business name
- Journey For Change LLC
- Organization subpart
- No
- Enumeration date
- Jul 11, 2022
- Certification date
- Jul 11, 2022
- Last updated
- Jul 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1719 W Main StRapid City, SD 57702-2564
Phone 605-519-8027
Mailing address
3514 Powderhorn CirRapid City, SD 57702-4888
Authorized official
Jeff Wahl
Owner
6055198027
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