Provider Demographics
NPI:1538555974
Name:MISSOURI RIVER COUNSELING LLC
Entity type:Organization
Organization Name:MISSOURI RIVER COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCHEIL
Authorized Official - Suffix:
Authorized Official - Credentials:CSW PIP
Authorized Official - Phone:605-222-5958
Mailing Address - Street 1:110 W MISSOURI AVE
Mailing Address - Street 2:
Mailing Address - City:PIERRE
Mailing Address - State:SD
Mailing Address - Zip Code:57501-4506
Mailing Address - Country:US
Mailing Address - Phone:605-222-5958
Mailing Address - Fax:
Practice Address - Street 1:110 W MISSOURI AVE
Practice Address - Street 2:
Practice Address - City:PIERRE
Practice Address - State:SD
Practice Address - Zip Code:57501-4506
Practice Address - Country:US
Practice Address - Phone:605-222-5958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-13
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD194240088Medicaid