| Authentic Counseling Llc | |
|
48174 268th St Brandon SD 57005-7228 | |
| (507) 227-4435 | |
| Not Available |
| Full Name | Authentic Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 48174 268th St, Brandon, South Dakota |
| Authorized Official Name and Position | Lindsey Krueger (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5072274435 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Counseling Llc 48174 268th St Brandon SD 57005-7228 Ph: (507) 227-4435 | Authentic Counseling Llc 48174 268th St Brandon SD 57005-7228 Ph: (507) 227-4435 |
| NPI Number | 1841937927 |
|---|---|
| Provider Enumeration Date | 05/19/2022 |
| Last Update Date | 09/07/2022 |
| Certification Date | 09/07/2022 |
| Medicare PECOS PAC ID | 6608244041 |
|---|---|
| Medicare Enrollment ID | O20221116001814 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841937927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Lindsey M Krueger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760831739 PECOS PAC ID: 5991090094 Enrollment ID: I20160829002457 |
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