Bridges To Hope Counseling Services | |
327 Broadway Ave Ste 16 Yankton SD 57078-7800 | |
(605) 665-4488 | |
Not Available |
Full Name | Bridges To Hope Counseling Services |
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Speciality | Social Worker |
Location | 327 Broadway Ave Ste 16, Yankton, South Dakota |
Authorized Official Name and Position | Jerry L. Webber (OWNER) |
Authorized Official Contact | 6056654488 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Bridges To Hope Counseling Services 327 Broadway Ave Ste 16 Yankton SD 57078-7800 Ph: (605) 665-4488 | Bridges To Hope Counseling Services 327 Broadway Ave Ste 16 Yankton SD 57078-7800 Ph: (605) 665-4488 |
NPI Number | 1457707507 |
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Provider Enumeration Date | 05/09/2016 |
Last Update Date | 06/21/2016 |
Medicare PECOS PAC ID | 1658662119 |
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Medicare Enrollment ID | O20160614001614 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457707507 | NPI | - | NPPES |
6571900 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 3088 (South Dakota) | Primary |
Provider Name | Jerry L Webber |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1104078260 PECOS PAC ID: 9638238785 Enrollment ID: I20081105000218 |
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