NPI Code Details Logo

NPI 1396602868

NPI 1396602868 : BRIAN VANDENHUL. LLC : SIOUX FALLS, SD

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1396602868
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    BRIAN VANDENHUL. LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/07/2026
-----------------------------------------------------
    Last Update Date     |    01/07/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3701 W 49TH ST STE 202A 
-----------------------------------------------------
    City                 |    SIOUX FALLS
-----------------------------------------------------
    State                |    SD
-----------------------------------------------------
    Zip                  |    57106-4241
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    605-310-3622
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3701 W 49TH ST STE 202A 
-----------------------------------------------------
    City                 |    SIOUX FALLS
-----------------------------------------------------
    State                |    SD
-----------------------------------------------------
    Zip                  |    57106-4241
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    605-310-3622
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     BRIAN  VANDENHUL 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    605-310-3622
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.