Black Hills Center for Healing and Advancement of Psychotherapy PLC
Organization Active NPI Clinical Social Worker · Rapid City, SD
NPI 1710442017 · NPPES record last updated Jan 31, 2019
Key facts
- NPI
- 1710442017
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- BLACK HILLS CENTER FOR HEALING AND ADVANCEMENT OF PSYCHOTHERAPY PLC
- Practice address
- 2525 W Main St Ste 303A6
Rapid City, SD 57702-2437 - Phone
- (605) 440-2287
- Fax
- (605) 791-2086
- NPI assigned
- Jan 31, 2019
- Organization subpart
- No
Authorized official
- Name
- Elizabeth Ostolozaga, LCSW-PIP
- Title
- Owner
- Phone
- (605) 440-2287
Practitioners 1
-
Elizabeth Ostolozaga, CSW-PIP
National Provider Directory
Locations
2525 W Main St
Ste 303A6
Rapid City, SD 57702
Phone (605) 440-2287
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
2525 W Main St Ste 303A6
Rapid City, SD 57702-2437
Mailing address
2525 W Main St Ste 303A6
Rapid City, SD 57702-2437
Phone (605) 440-2287
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2013208 | Medicaid | SD |
Other providers in Rapid City, SD
- Black Hills Anesthesia, Prof. L.L.C.
- Black Hills Audiology LLC
- Black Hills Behavior, LLC
- Black Hills Care and Rehabilitation Center LLC
- Black Hills Caregiving, LLC
- Black Hills Child Psychiatric Services
- Black Hills Dermatology PC
- Black Hills Embrace LLC
- Black Hills Healing Arts Inc
- Black Hills Health and Wellness Center of Rapid Ci
All providers in Rapid City, SD · Clinical Social Worker in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.