# PRAIRIE RIVER COUNSELING PLLC

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

## Provider details

- **NPI number:** 1477324044
- **Authorized official:** REBECCA SIMONI-RYAN LMHC (MANAGER/THERAPIST)
- **Authorized official phone:** (712) 301-7411

## Contact information

- **Practice address:** 33148 K22, SIOUX CITY, IA 51108-8630
- **Practice address phone:** (712) 301-7411
- **Mailing address:** 828 ROMANS RD, SIOUX CITY, IA 51106-9671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2024
- **Last updated:** 01/17/2024