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General NPI Number Information
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NPI Number | 1730097411
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Entity Type | Organization
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Legal Business Name | BB GROUP LLC
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 2218 JACKSON BLVD STE 13
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City | RAPID CITY
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State | SD
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Zip | 57702-3452
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Country | US
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Telephone | 605-431-4106
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Fax |
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Provider Business Mailing Address
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Address Line | 4051 VALLEY WEST LN
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City | RAPID CITY
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State | SD
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Zip | 57702-3160
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Country | US
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Telephone | 605-415-2735
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | LYNSEY LYTLE WARD
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Credential | LPC-MH
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Telephone | 605-415-2735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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