Provider Demographics
NPI:1538606801
Name:SPIRALS COUNSELING, LLC
Entity type:Organization
Organization Name:SPIRALS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNELL
Authorized Official - Middle Name:MAR
Authorized Official - Last Name:RICE BRINKWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMFT
Authorized Official - Phone:605-381-5277
Mailing Address - Street 1:623 QUINCY ST STE 102
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-8230
Mailing Address - Country:US
Mailing Address - Phone:605-381-5277
Mailing Address - Fax:
Practice Address - Street 1:623 QUINCY ST STE 102
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-8230
Practice Address - Country:US
Practice Address - Phone:605-381-5277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-25
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLMFT1209106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty