| Journey Counseling Services, Llc | |
|
2525 W Main St Ste 214 Rapid City SD 57702-2439 | |
| (605) 988-8131 | |
| (605) 988-8141 |
| Full Name | Journey Counseling Services, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2525 W Main St Ste 214, Rapid City, South Dakota |
| Authorized Official Name and Position | Michael Edward Wheaton (MANAGER) |
| Authorized Official Contact | 6059888122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey Counseling Services, Llc 2525 W Main St Ste 214 Rapid City SD 57702-2439 Ph: (605) 988-8131 | Journey Counseling Services, Llc 2525 W Main St Ste 214 Rapid City SD 57702-2439 Ph: (605) 988-8131 |
| NPI Number | 1790199594 |
|---|---|
| Provider Enumeration Date | 06/19/2014 |
| Last Update Date | 04/12/2021 |
| Certification Date | 04/12/2021 |
| Medicare PECOS PAC ID | 5496014003 |
|---|---|
| Medicare Enrollment ID | O20180104001767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790199594 | NPI | - | NPPES |
| 2016647 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT1212 (South Dakota) | Primary |
| Provider Name | Michael Edward Wheaton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417384587 PECOS PAC ID: 2668731274 Enrollment ID: I20240116003937 |
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