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Organization
SIOUX RIVER MENTAL HEALTH SERVICES LLC
Active
Organization
SIOUX RIVER MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN FALON MS, LPC-MH, LAC, QMH (OWNER / PROVIDER)
(605) 413-6957
Entity
Organization
Contact information
Practice address
431 N PHILLIPS AVE STE 340, SIOUX FALLS, SD 57104-5933
(605) 413-6957
Mailing address
431 N PHILLIPS AVE STE 340, SIOUX FALLS, SD 57104-5933
(605) 413-6957
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
833124997
BLUE CROSS/BLUE SHIELD
SD
Enumeration date
01/16/2019
Last updated
02/23/2024
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