| Life Light Counseling, Inc. | |
|
1315 N Main St Suite 100 Mitchell SD 57301-1359 | |
| (605) 996-2070 | |
| (605) 996-2395 |
| Full Name | Life Light Counseling, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1315 N Main St, Mitchell, South Dakota |
| Authorized Official Name and Position | Kim M Reid (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6059962070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Light Counseling, Inc. 1315 N Main St Suite 100 Mitchell SD 57301-1359 Ph: (605) 996-2070 | Life Light Counseling, Inc. 1315 N Main St Suite 100 Mitchell SD 57301-1359 Ph: (605) 996-2070 |
| NPI Number | 1649343922 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649343922 | NPI | - | NPPES |
| 5000270 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (South Dakota) | Primary |
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