Willetta Woodson, ACT | |
350 Elk St, Rapid City, SD 57701-7351 | |
(605) 343-7262 | |
Not Available |
Full Name | Willetta Woodson |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 350 Elk St, Rapid City, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396287520 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC20523 (South Dakota) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (South Dakota) | Secondary |
Entity Name | Deer Oaks Mental Health Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134175763 PECOS PAC ID: 2264337013 Enrollment ID: O20101012000670 |
Mailing Address | Practice Location Address |
---|---|
Willetta Woodson, ACT 3013 Outlook Cir Unit B, Rapid City, SD 57701-5919 Ph: (605) 593-1652 | Willetta Woodson, ACT 350 Elk St, Rapid City, SD 57701-7351 Ph: (605) 343-7262 |
Mary Schweitzer, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 528 Kansas City St Ste 5, Rapid City, SD 57701 Phone: 605-299-9100 | |
Amanda F Levy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 Quincy St, Rapid City, SD 57701 Phone: 605-391-4863 | |
Julie Ann Thompson, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Elk St, Rapid City, SD 57701 Phone: 605-343-7262 | |
Leesa House, Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Elk St, Rapid City, SD 57701 Phone: 605-343-7262 | |
Cristi Habermann, MA-LPC LAX Counselor Medicare: Not Enrolled in Medicare Practice Location: 2650 Jackson Blvd Ste 19-a, Rapid City, SD 57702 Phone: 605-490-4229 Fax: 605-341-2072 | |
Darlene Nichols-ecoffey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 529 Kansas City St, Suite 100, Rapid City, SD 57701 Phone: 605-348-6086 Fax: 605-348-1050 | |
Cortney Carmody, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 North St, Rapid City, SD 57701 Phone: 605-343-0650 Fax: 605-342-3692 |