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General NPI Number Information
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NPI Number | 1447117601
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Entity Type | Organization
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Legal Business Name | POSITIVE THERAPY WITH STACY
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 429 KANSAS CITY ST STE 8C
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City | RAPID CITY
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State | SD
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Zip | 57701-8283
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Country | US
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Telephone | 605-519-8483
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 271
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City | HOT SPRINGS
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State | SD
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Zip | 57747-0271
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STACY HERMAN
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Credential |
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Telephone | 605-519-8483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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