Organization
GREEN BAKERS IS THE PLACE TO BE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHANDLER BENJAMIN SUTHERLAND (CHIEF FINANCIAL OFFICER)
(605) 858-2700
Entity
Organization
Contact information
Practice address
1818 W FULTON ST STE 201A, RAPID CITY, SD 57702-4347
(605) 858-2700
Mailing address
1818 W FULTON ST STE 201A, RAPID CITY, SD 57702-4347
(605) 858-2700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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