Healthcare Provider Details

I. General information

NPI: 1487517587
Provider Name (Legal Business Name): EPIPHANY MENTAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 5TH AVE STE 5
BELLE FOURCHE SD
57717-1214
US

IV. Provider business mailing address

PO BOX 142
BELLE FOURCHE SD
57717-0142
US

V. Phone/Fax

Practice location:
  • Phone: 605-210-4055
  • Fax:
Mailing address:
  • Phone: 605-210-4055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA HELMER AURAND
Title or Position: OWNER/OPERATOR
Credential: LCSW-PIP, QMHP
Phone: 605-210-4055