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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