Organization
BEHAVIOR MANAGEMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHANUA RAE SMITH LPC (FAMILY PATHWAYS CLINICIAN)
(605) 391-9319
Entity
Organization
Contact information
Practice address
3 CANYON VIEW CIR, HOT SPRINGS, SD 57747-1700
(605) 745-6222
Mailing address
PO BOX 440, HOT SPRINGS, SD 57747-0440
(605) 391-9319
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC7094
SD
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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