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Contact Information

BRAIN HEALTH SALON LLC
2650 JACKSON BLVD # 19A
RAPID CITY, SD57702-3474
 Phone: 605-390-3170
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
Indicates primary specialty

NPI Profile & details for BRAIN HEALTH SALON LLC

NPI Number 1093457921
LBN Legal business name BRAIN HEALTH SALON LLC
Authorized official SANDRA LEIGH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/11/2022
Last updated 04/28/2026 - About a month ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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