Provider Demographics
NPI:1538813191
Name:SATTERWHITE THERAPY SERVICES LLC
Entity type:Organization
Organization Name:SATTERWHITE THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SATTERWHITE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, CSW, PIP, QMHP
Authorized Official - Phone:605-315-7156
Mailing Address - Street 1:821 COLUMBUS ST STE 5
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-4810
Mailing Address - Country:US
Mailing Address - Phone:605-315-7156
Mailing Address - Fax:
Practice Address - Street 1:821 COLUMBUS ST STE 5
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-4810
Practice Address - Country:US
Practice Address - Phone:605-315-7156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-11
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)