Organization
WELLSPRING INC.
Active
Organization
WELLSPRING INC.
Active
Other names
Soaring Eagle Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLA SUE DENNIS CCDCIII, CCSII, (CLINICAL SUPERVISOR)
(605) 718-4870
Entity
Organization
Contact information
Practice address
117 KNOLLWOOD DR, RAPID CITY, SD 57701-0693
(605) 718-4870
(605) 718-4878
Mailing address
PO BOX 1087, RAPID CITY, SD 57709-1087
(605) 718-4870
(605) 718-4878
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
SD
2084P0800X
Psychiatry Physician
Primary
1887
SD
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
R72 97406
SD
324500000X
Substance Abuse Rehabilitation Facility
—
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5005080
—
SD
05
—
5005082
—
SD
05
—
5160320
—
SD
05
—
7100744
—
SD
Enumeration date
02/28/2007
Last updated
09/11/2025
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