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NPI Code Detail

MEDICARE: STRONGHOLD COUNSELING SERVICES INC

MEDICARE: STRONGHOLD COUNSELING SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14998513OTHERBCBS

General Provider Information

NPI Number : 1093790891
Entity Type Code : Organization
Provider Name (Legal Business Name) : STRONGHOLD COUNSELING SERVICES INC
Provider Business Mailing Address
First Line : 4300 S LOUISE AVE STE 201
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57106-3124
Country : US
Telephone Number : 605-334-7713
Fax Number : 605-334-5348
Provider Business Practice Location Address
First Line : 4300 S LOUISE AVE STE 201
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57106-3124
Country : US
Telephone Number : 605-334-7713
Fax Number : 605-334-5348
Authorized Official
Title or Position : OWNER
Name : MS. LORRI CHAMBERS
Credential :
Telephone Number : 605-334-7713
Provider Enumeration Date : 12/14/2005
Last Update Date : 11/20/2020

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Directions to “STRONGHOLD COUNSELING SERVICES INC ” Practice Location

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