Organization
FOUNDATIONS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB DAVID SEIDEL LPC-MH, NCC (OWNER)
(605) 431-5385
Entity
Organization
Contact information
Practice address
731 SAINT JOSEPH ST STE 205, RAPID CITY, SD 57701-2778
(605) 431-5385
Mailing address
731 SAINT JOSEPH ST STE 205, RAPID CITY, SD 57701-2778
(605) 721-0200
(605) 721-0165
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/11/2021
Last updated
10/15/2021
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