Dakota Group | |
405 8th Ave Nw Ste 205 Aberdeen SD 57401-2765 | |
(605) 725-9565 | |
(844) 651-2144 |
Full Name | Dakota Group |
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Speciality | Counselor |
Location | 405 8th Ave Nw Ste 205, Aberdeen, South Dakota |
Authorized Official Name and Position | Sherwood M Schrenk (OWNER/PARTNER) |
Authorized Official Contact | 6052281754 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dakota Group 405 8th Ave Nw Ste 205 Aberdeen SD 57401-2765 Ph: (605) 725-9565 | Dakota Group 405 8th Ave Nw Ste 205 Aberdeen SD 57401-2765 Ph: (605) 725-9565 |
NPI Number | 1346699675 |
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Provider Enumeration Date | 06/07/2016 |
Last Update Date | 08/26/2024 |
Certification Date | 08/26/2024 |
Medicare PECOS PAC ID | 4789952706 |
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Medicare Enrollment ID | O20170615002625 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346699675 | NPI | - | NPPES |
6575640 | Medicaid | SD | |
6577900 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Sherwood Matthew Schrenk |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1447333968 PECOS PAC ID: 2466722020 Enrollment ID: I20240228002547 |
Provider Name | Amanda Jean Lautenschlager |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1174809446 PECOS PAC ID: 6002186665 Enrollment ID: I20240304000351 |
Provider Name | Heather R Aldentaler |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1215106547 PECOS PAC ID: 6305284464 Enrollment ID: I20240409001825 |
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