Provider Demographics
NPI:1700760907
Name:BLACK HILLS INTEGRATIVE COUNSELING AND COACHING, LLC
Entity type:Organization
Organization Name:BLACK HILLS INTEGRATIVE COUNSELING AND COACHING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:E
Authorized Official - Last Name:SWANTNER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-MH
Authorized Official - Phone:208-761-1356
Mailing Address - Street 1:11555 HIGH VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-5610
Mailing Address - Country:US
Mailing Address - Phone:208-761-1356
Mailing Address - Fax:
Practice Address - Street 1:1301 W OMAHA ST STE 205
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-2421
Practice Address - Country:US
Practice Address - Phone:605-215-0550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty