BLAISE LYNN REAGLE LPC
NPI 1972131654
Counselor - Mental Health in Rapid City, SD
Active since March 30, 2020
About Blaise Lynn Reagle Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAISE LYNN REAGLE LPC (NPI 1972131654) is an individual mental health provider in Rapid City, South Dakota, licensed in North Dakota (87241516) and active in the NPI registry since March 2020.
NPPES Registry Identity
NPI1972131654
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBLAISE LYNN REAGLECredential: LPC
Location Address3625 5TH ST STE 100Rapid City, SD 57701-6002
Mailing Address3625 5th St Ste 100Rapid City, SD 57701-6002 · (605) 718-1095
Phone(605) 718-1095
Sole ProprietorNo
Enumeration DateMarch 30, 2020
NPPES CertifiedMarch 30, 2020
✔ NPI 1972131654 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ND · 87241516
3625 5TH ST STE 100, Rapid City, SD 57701
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972131654, enumerated as an "individual" on March 30, 2020.
The provider is located at 3625 5TH ST STE 100 RAPID CITY, SD 57701 and the phone number is (605) 718-1095.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
