| La Nouvelle Rue Counseling, Llc | |
|
3508 S Minnesota Ave Ste 100 Sioux Falls SD 57105-6455 | |
| (605) 864-0786 | |
| Not Available |
| Full Name | La Nouvelle Rue Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3508 S Minnesota Ave Ste 100, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Hope Johnson (COUNSELOR/OWNER) |
| Authorized Official Contact | 6058640786 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Nouvelle Rue Counseling, Llc 3508 S Minnesota Ave Ste 100 Sioux Falls SD 57105-6457 Ph: (605) 864-0786 | La Nouvelle Rue Counseling, Llc 3508 S Minnesota Ave Ste 100 Sioux Falls SD 57105-6455 Ph: (605) 864-0786 |
| NPI Number | 1083257075 |
|---|---|
| Provider Enumeration Date | 10/22/2019 |
| Last Update Date | 02/22/2024 |
| Certification Date | 02/22/2024 |
| Medicare PECOS PAC ID | 4587009212 |
|---|---|
| Medicare Enrollment ID | O20240304002004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083257075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Hope Elizabeth Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245884238 PECOS PAC ID: 9931544665 Enrollment ID: I20240311002286 |
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