Organization Name: | SOZO COUNSELING CARE, INC. |
NPI Number: | 1003146895 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANNE S. HEYNEN (PRESIDENT) |
Mailing Address: | 2701 S Minnesota Ave Suite 3 Sioux Falls |
State: | SD US |
Postal Code: | 571054744 |
Phone Number: | 6053393378 |
Fax Number: | 6053390510 |
NPI Enumeration Date: | 12/30/2009 |
NPI Last Update Date: | 12/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LPCMH2048 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |