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Organization

LISA PORISCH, LPC-MH, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA PORISCH LPC-MH (OWNER)
(605) 348-6500
Entity
Organization

Contact information

Practice address
3421 W MAIN ST, RAPID CITY, SD 57702-2321
(605) 468-1865
(605) 467-7829
Mailing address
3421 W MAIN ST, RAPID CITY, SD 57702-2321
(605) 468-1865
(605) 467-7829

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-MH 2102
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6575750
SD
Enumeration date
04/12/2011
Last updated
06/18/2025
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