Healthcare Provider Details

I. General information

NPI: 1487570875
Provider Name (Legal Business Name): MAYSON BRAUER M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 N 5TH ST
SPEARFISH SD
57783-2048
US

IV. Provider business mailing address

5225 TURTLE LN
SPEARFISH SD
57783-6331
US

V. Phone/Fax

Practice location:
  • Phone: 605-519-5850
  • Fax: 605-656-0560
Mailing address:
  • Phone: 605-519-5850
  • Fax: 605-656-0560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC21116
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: