Organization
SANCTUARY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA COYNE MS, NCC (LPC-SUPERVISEE)
(605) 389-2571
Entity
Organization
Contact information
Practice address
4447 S CANYON RD STE 6, RAPID CITY, SD 57702-1889
(605) 646-3134
Mailing address
4447 S CANYON RD STE 6, RAPID CITY, SD 57702-1889
(605) 646-3134
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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