Provider Demographics
NPI:1164304077
Name:REMEDY MENTAL HEALTH PLLC
Entity type:Organization
Organization Name:REMEDY MENTAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DESHANO
Authorized Official - Suffix:
Authorized Official - Credentials:FOUNDER
Authorized Official - Phone:763-312-7572
Mailing Address - Street 1:631 SAINT ANNE ST STE 103
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-4693
Mailing Address - Country:US
Mailing Address - Phone:605-348-8000
Mailing Address - Fax:605-716-0248
Practice Address - Street 1:636 SAINT ANNE ST
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-4694
Practice Address - Country:US
Practice Address - Phone:605-348-8000
Practice Address - Fax:605-348-8000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health