Vanderbeek, Holli A

Vanderbeek, Holli A is an individual health care provider with primary practice located at 202 E Adams St , Rapid City SD 57701-1261. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Vanderbeek, Holli A can be contacted via phone (605) 342-4789.

Contact Information

Primary practice address
202 E Adams St Rapid City SD 57701-1261
Phone: (605) 342-4789
Fax: (605) 399-0833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X South Dakota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH2130 South Dakota

Profile Details

NPI number 1134260508
LBN Legal business name Vanderbeek, Holli A
Credentials LPC-MH,QMHP,CCDCIII
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134260508 NPPES
South Dakota MEDICAID 6576060

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