# SKY RANCH BEHAVIORAL SERVICES

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

## Provider details

- **NPI number:** 1316609720
- **Authorized official:** ANNA BERTRAND TLMHC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (712) 277-2007

## Contact information

- **Practice address:** 505 5TH ST STE 100, SIOUX CITY, IA 51101-1510
- **Practice address phone:** (712) 277-2007
- **Practice address fax:** (712) 277-2189
- **Mailing address:** 505 5TH ST STE 100, SIOUX CITY, IA 51101-1510
- **Mailing address phone:** (712) 277-2007
- **Mailing address fax:** (712) 277-2189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 10/13/2021
- **Last updated:** 02/29/2024