# BRAIN HEALTH SALON LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093457921
- **Authorized official:** SANDRA LEIGH (OWNER)
- **Authorized official phone:** (605) 390-3170

## Contact information

- **Practice address:** 2650 JACKSON BLVD \# 19A, RAPID CITY, SD 57702-3474
- **Practice address phone:** (605) 390-3170
- **Mailing address:** 3213 W MAIN ST \# 620, RAPID CITY, SD 57702-2314
- **Mailing address phone:** (605) 390-3170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 04/11/2022
- **Last updated:** 04/28/2026