Healthcare Provider Details

I. General information

NPI: 1588361109
Provider Name (Legal Business Name): FAMILY FIRST THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2023
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2040 W MAIN ST STE 214
RAPID CITY SD
57702-2446
US

IV. Provider business mailing address

2040 W MAIN ST STE 214
RAPID CITY SD
57702-2446
US

V. Phone/Fax

Practice location:
  • Phone: 605-786-7797
  • Fax: 605-443-7070
Mailing address:
  • Phone: 605-786-7797
  • Fax: 605-443-7070

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: DEBRA ANN HUGHES
Title or Position: CLINICAL SOCIAL WORKER
Credential: CLSW
Phone: 605-786-7797