Healthcare Provider Details
I. General information
NPI: 1992524813
Provider Name (Legal Business Name): JOSH REINFELD COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/08/2024
Last Update Date: 10/08/2024
Certification Date: 10/08/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
812 S WESTMOOR DR
SIOUX FALLS SD
57104-4516
US
IV. Provider business mailing address
812 S WESTMOOR DR
SIOUX FALLS SD
57104-4516
US
V. Phone/Fax
- Phone: 605-929-9866
- Fax:
- Phone: 605-929-9866
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JOSH
WAYNE
REINFELD
Title or Position: THERAPIST/OWNER
Credential: LCSW-PIP
Phone: 605-929-9866