Lac Castor Wellness, LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Rapid City, SD
NPI 1962858985 · NPPES record last updated Mar 20, 2017
Key facts
- NPI
- 1962858985
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- CP001043 (SD)
- Legal business name
- LAC CASTOR WELLNESS, LLC
- Practice address
- 3213 W Main St
Rapid City, SD 57702-2314 - Phone
- (605) 415-1616
- NPI assigned
- May 9, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Melinda McCusker, PHD, CNP
- Title
- Owner/Founder
- Phone
- (605) 415-1616
National Provider Directory
Locations
3213 W Main St
Rapid City, SD 57702
Phone (402) 398-2282
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | CP001043 | SD | Yes |
Addresses
Primary practice location
3213 W Main St
Rapid City, SD 57702-2314
Mailing address
3213 W Main St
Rapid City, SD 57702-2314
Phone (605) 415-1616
Other providers in Rapid City, SD
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- Katherine Labonte
- Laboratory Corporation of America
- Laboratory Corporation of America
- Sonja Samsoondar Labrie
- Jaden Lafleur
- Taylor Lage
- Erika Lahood-Burns
- Sharon S Lai
- Laidlaw Counseling LLC
All providers in Rapid City, SD · Psychiatric/Mental Health Nurse Practitioner 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 Mar 20, 2017. 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.