Healthcare Provider Details

I. General information

NPI: 1306720107
Provider Name (Legal Business Name): BLACK HILLS SOMATIC SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 SIOUX SAN DR STE 204
RAPID CITY SD
57702-8207
US

IV. Provider business mailing address

1010 SIOUX SAN DR STE 204
RAPID CITY SD
57702-8207
US

V. Phone/Fax

Practice location:
  • Phone: 605-388-2036
  • Fax:
Mailing address:
  • Phone: 605-388-2036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: TECIE L TURNER-NEWMAN
Title or Position: OWNER/PROVIDER
Credential: CSW-PIP
Phone: 605-388-2036