Healthcare Provider Details

I. General information

NPI: 1851847065
Provider Name (Legal Business Name): HEATHER KAY OCHOCKI MA LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2016
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 E FAIRLANE DR
RAPID CITY SD
57701-7207
US

IV. Provider business mailing address

405 E FAIRLANE DR
RAPID CITY SD
57701-7207
US

V. Phone/Fax

Practice location:
  • Phone: 605-642-7093
  • Fax:
Mailing address:
  • Phone: 605-642-7093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number7395
License Number StateSD
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number19091833
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: