Healthcare Provider Details

I. General information

NPI: 1477418705
Provider Name (Legal Business Name): THE COUCH CONNECTION MENTAL HEALTH & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 E OAKLAND ST
RAPID CITY SD
57701-5839
US

IV. Provider business mailing address

PO BOX 823
RAPID CITY SD
57709-0823
US

V. Phone/Fax

Practice location:
  • Phone: 605-204-6047
  • Fax:
Mailing address:
  • Phone: 605-204-6047
  • Fax:

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: CHELSEY GROSECLOSE
Title or Position: OWNER/COUNSELOR
Credential: NCC, LPC-MH, QMHP
Phone: 605-204-6047