Provider Demographics
NPI:1104472547
Name:BARSE COUNSELING LLC
Entity type:Organization
Organization Name:BARSE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LYNNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARSE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, QMHP
Authorized Official - Phone:605-388-2588
Mailing Address - Street 1:811 E SAINT ANDREW ST STE 6
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-3982
Mailing Address - Country:US
Mailing Address - Phone:605-388-2588
Mailing Address - Fax:
Practice Address - Street 1:811 E SAINT ANDREW ST STE 6
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-3982
Practice Address - Country:US
Practice Address - Phone:605-388-2588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-12
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)