Organization
THE GIVING GOAT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOREE SIEGFRIED LCSW (CLINICAL LICENSED SOCIAL WORKER)
(605) 939-0296
Entity
Organization
Contact information
Practice address
1410 NORTH AVE STE 3, SPEARFISH, SD 57783-1574
(605) 939-0296
Mailing address
1420 NORTH AVE STE 5, SPEARFISH, SD 57783-1543
(605) 939-0296
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114153772
NPPES
SD
Enumeration date
10/09/2023
Last updated
10/09/2023
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