Healthcare Provider Details

I. General information

NPI: 1538658554
Provider Name (Legal Business Name): BROOKINGS COUNSELING SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2018
Last Update Date: 07/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1304 MAIN AVE S
BROOKINGS SD
57006
US

IV. Provider business mailing address

1304 MAIN AVE S
BROOKINGS SD
57006-3841
US

V. Phone/Fax

Practice location:
  • Phone: 605-999-6162
  • Fax: 605-942-7300
Mailing address:
  • Phone: 605-999-6162
  • Fax: 605-942-7300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateSD
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateSD
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateSD

VIII. Authorized Official

Name: ERIN RHONDA STEARNS
Title or Position: PARTNER/PROVIDER
Credential: MSW, CSW-PIP, QHMP
Phone: 605-592-9343