Provider Demographics
NPI:1427613256
Name:CHELAN COUNSELING, LLC
Entity type:Organization
Organization Name:CHELAN COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAAS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:605-646-5201
Mailing Address - Street 1:521 CUSTER ST
Mailing Address - Street 2:
Mailing Address - City:SPEARFISH
Mailing Address - State:SD
Mailing Address - Zip Code:57783-1123
Mailing Address - Country:US
Mailing Address - Phone:605-645-2177
Mailing Address - Fax:
Practice Address - Street 1:625 1/2 MAIN ST STE 1
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-2758
Practice Address - Country:US
Practice Address - Phone:605-646-5201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-07
Last Update Date:2019-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health