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General NPI Number Information
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NPI Number | 1215918339
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Entity Type | Organization
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Legal Business Name | LEWIS & CLARK BEHAVIORAL HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 08/16/2025
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Provider Practice Location Address
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Address Line | 3111 SHIRLEY BRIDGE AVE
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City | YANKTON
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State | SD
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Zip | 57078-5949
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Country | US
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Telephone | 605-665-4606
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Fax | 605-665-4673
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Provider Business Mailing Address
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Address Line | 3111 SHIRLEY BRIDGE AVE
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City | YANKTON
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State | SD
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Zip | 57078-5949
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Country | US
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Telephone | 605-665-4606
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Fax | 605-665-4673
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Authorized Official
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Title or Position | COO
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Name | BRENDA HOXENG
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Credential |
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Telephone | 605-665-4606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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