| Brenda Hansen-mayer, Llc | |
|
1601 E 69th St Ste 202 Sioux Falls SD 57108-8322 | |
| (605) 330-9997 | |
| Not Available |
| Full Name | Brenda Hansen-mayer, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1601 E 69th St Ste 202, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Brenda Hansen-mayer (OWNER) |
| Authorized Official Contact | 6053309997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Hansen-mayer, Llc 1601 E 69th St Ste 202 Sioux Falls SD 57108-8322 Ph: (605) 330-9997 | Brenda Hansen-mayer, Llc 1601 E 69th St Ste 202 Sioux Falls SD 57108-8322 Ph: (605) 330-9997 |
| NPI Number | 1811778285 |
|---|---|
| Provider Enumeration Date | 10/11/2023 |
| Last Update Date | 10/11/2023 |
| Certification Date | 10/11/2023 |
| Medicare PECOS PAC ID | 7315380847 |
|---|---|
| Medicare Enrollment ID | O20240212001998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811778285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Brenda Hansen-mayer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730380387 PECOS PAC ID: 9133562663 Enrollment ID: I20240212002054 |
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