MEDICINE HORSE COUNSELING, PLLC (NPI# 1003367103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003367103 |
Entity Type | Organization |
Organization Name | MEDICINE HORSE COUNSELING, PLLC |
Practice Address |
10435 63rd Ave Ne Rocklake ND 58365-9517 |
Practice Telephone | 7012665118 |
Mailing Telephone | 7012665118 |
Enumeration Date | 2016-10-24 |
Last Update Date | 2016-10-24 |
Authorized Official Name | WANDA JEAN LAMOTTE-PETERSON (OWNER/DIRECTOR) |
Authorized Official Telephone | 7012665118 |
Authorized Official Credential | LAC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | 1605 | ND | Residential Treatment Facilities |
Street Address |
10435 63RD AVE NE |
City | ROCKLAKE |
State | ND |
Zip Code | 58365-9517 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548359623 | Rock Lake Ambulance Service | Ambulance | 33 Main St, Rock Lake, ND 58365-4005 | 2006-10-12 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
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1730703984 | Turtle Mountain Band of Chippewa Indians | Substance Abuse Rehabilitation Facility | 1105 Sheldon Souray Avenue, Belcourt, ND 58316-0520 | 2020-06-03 |
1306308101 | Summit Silver Creek, LLC | Substance Abuse Rehabilitation Facility | 2046 125th Ave, Watford City, ND 58854 | 2019-04-02 |
1447736780 | Advance In Recovery, Pllc | Substance Abuse Rehabilitation Facility | 1206 Main St, Carrington, ND 58421-1902 | 2018-07-18 |
1598079394 | Jessica Ann Brown | Substance Abuse Rehabilitation Facility | 1202 23rd St S, Fargo, ND 58103-2951 | 2010-08-04 |
1255656765 | Transitional Living Center Inc | Substance Abuse Rehabilitation Facility | 4399 88th Ave Ne, Devils Lake, ND 58301-8704 | 2010-03-29 |
1235452921 | New Beginnings Recovery Center | Substance Abuse Rehabilitation Facility | 693 5th Ave Sw, Dickinson, ND 58601-5808 | 2010-03-09 |
1265660187 | West Central Human Service Center | Substance Abuse Rehabilitation Facility | 412 Birchwood Dr, Bismarck, ND 58504-6209 | 2009-06-30 |
1356576979 | Sharehouse Genesis | Substance Abuse Rehabilitation Facility | 505 40th St S Unit B, Fargo, ND 58103-1184 | 2009-05-27 |
1366681918 | Prairie St. John's, LLC | Substance Abuse Rehabilitation Facility | 510 4th St. South, Fargo, ND 58103 | 2009-02-05 |
1437283587 | New Freedom Center | Substance Abuse Rehabilitation Facility | 905 E Interstate Ave, Bismarck, ND 58503-0549 | 2007-03-14 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.