Healthcare Provider Details

I. General information

NPI: 1730097411
Provider Name (Legal Business Name): BB GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2218 JACKSON BLVD STE 13
RAPID CITY SD
57702-3452
US

IV. Provider business mailing address

4051 VALLEY WEST LN
RAPID CITY SD
57702-3160
US

V. Phone/Fax

Practice location:
  • Phone: 605-431-4106
  • Fax:
Mailing address:
  • Phone: 605-415-2735
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL

VIII. Authorized Official

Name: LYNSEY LYTLE WARD
Title or Position: MENTAL HEALTH THERAPIST
Credential: LPC-MH
Phone: 605-415-2735