Provider Demographics
NPI:1942091384
Name:HUBERT, ANGEL
Entity type:Individual
Prefix:
First Name:ANGEL
Middle Name:
Last Name:HUBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 ELK ST
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-7351
Mailing Address - Country:US
Mailing Address - Phone:605-343-7262
Mailing Address - Fax:605-342-3692
Practice Address - Street 1:WEST RIVER MENTAL HEALTH - MAINSTREAM
Practice Address - Street 2:111 NORTH STREET
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-5770
Practice Address - Country:US
Practice Address - Phone:605-343-0650
Practice Address - Fax:605-342-3692
Is Sole Proprietor?:No
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator