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1451 6th St Brookings SD 57006-1604 | |
| (605) 695-3503 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 1451 6th St, Brookings, South Dakota |
| Authorized Official Name and Position | Robyn Amiotte (OWNER) |
| Authorized Official Contact | 6056902543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1451 6th St Brookings SD 57006-1604 Ph: () - | 1451 6th St Brookings SD 57006-1604 Ph: (605) 695-3503 |
| NPI Number | 1669126454 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 10/08/2022 |
| Certification Date | 10/08/2022 |
| Medicare PECOS PAC ID | 6507305125 |
|---|---|
| Medicare Enrollment ID | O20240827004444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669126454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Robyn Marie Amiotte |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356515225 PECOS PAC ID: 7315486933 Enrollment ID: I20240904004208 |
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