Organization
RESTORATION RANCH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MEGAN KAYE MILLER LPC, LMFT (OWNER)
(605) 351-3718
Entity
Organization
Contact information
Practice address
35540 250TH ST, PUKWANA, SD 57370-6513
(605) 351-3718
Mailing address
35686 248TH ST, KIMBALL, SD 57355-6505
(605) 351-3718
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC7426
SD
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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