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General NPI Number Information
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NPI Number | 1477418705
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Entity Type | Organization
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Legal Business Name | THE COUCH CONNECTION MENTAL HEALTH & WELLNESS, LLC
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 710 E OAKLAND ST
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City | RAPID CITY
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State | SD
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Zip | 57701-5839
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Country | US
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Telephone | 605-204-6047
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 823
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City | RAPID CITY
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State | SD
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Zip | 57709-0823
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Country | US
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Telephone | 605-204-6047
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Fax |
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | CHELSEY GROSECLOSE
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Credential | NCC, LPC-MH, QMHP
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Telephone | 605-204-6047
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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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