Selah Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4970 Issued in ND

Legal business name

SELAH COUNSELING

Practice address

125 Main St,
Suite #220
Williston, ND 58801

Phone

(701) 570-4602

NPI assigned

Mar 15, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Theresa E Scully, MSW, LICSW

Title

Owner/Practioner

Phone

(701) 570-4602

Specialties & licenses 2

Addresses

Other names 1

• Theresa Scully Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1801337415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1883",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588021883",
            "telephone_number": "701-570-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MAIN ST,",
            "address_2": "SUITE #220",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "58801",
            "telephone_number": "701-570-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELAH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "SCULLY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PRACTIONER",
        "authorized_official_telephone_number": "701-570-4602",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ND",
            "license": "4970",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "ND",
            "license": "4970",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Theresa Scully",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristine Schneider
• Jacqueline D Schwan, RN, BSN
• Theresa E Scully, LICSW
• Kelsey Jordan Sederquest
• Ron J. Seeley, D.D.S.
• Steven Sell
• Monica Lynn Sem, MS. OTR/L
• Service First Healthcare
• Camille Ann Settelmeyer, FNP-C
• Salem Shehadeh Shahin, MD

• Community/Behavioral Health Agency in Williston, ND
• Providers in Williston, ND by specialty
• Community/Behavioral Health Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.