Healthcare Provider Details

I. General information

NPI: 1386582401
Provider Name (Legal Business Name): SWAN COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 7TH ST STE 202
RAPID CITY SD
57701-2756
US

IV. Provider business mailing address

522 7TH ST STE 202
RAPID CITY SD
57701-2756
US

V. Phone/Fax

Practice location:
  • Phone: 605-416-9904
  • Fax: 605-416-9904
Mailing address:
  • Phone: 605-416-9904
  • Fax: 605-416-9904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: AMANDA R SWAN
Title or Position: OWNER
Credential: SWAN
Phone: 605-416-9904