| Spearfish Counseling | |
|
1320 North Ave Spearfish SD 57783-1525 | |
| (605) 644-7494 | |
| (605) 644-7356 |
| Full Name | Spearfish Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 1320 North Ave, Spearfish, South Dakota |
| Authorized Official Name and Position | Sheri Short (SOLE OWNER) |
| Authorized Official Contact | 6056447511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spearfish Counseling 1320 North Ave Spearfish SD 57783-1525 Ph: (605) 644-7494 | Spearfish Counseling 1320 North Ave Spearfish SD 57783-1525 Ph: (605) 644-7494 |
| NPI Number | 1902422116 |
|---|---|
| Provider Enumeration Date | 06/23/2020 |
| Last Update Date | 07/20/2021 |
| Certification Date | 06/09/2021 |
| Medicare PECOS PAC ID | 4183023096 |
|---|---|
| Medicare Enrollment ID | O20210526001540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902422116 | NPI | - | NPPES |
| 1023070844 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Sheri C Short |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023070844 PECOS PAC ID: 4385748615 Enrollment ID: I20140205000653 |
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