| Meridian Counseling & Family Services, Llc | |
|
311 Cedar St Yankton SD 57078-4335 | |
| (605) 689-0457 | |
| Not Available |
| Full Name | Meridian Counseling & Family Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 311 Cedar St, Yankton, South Dakota |
| Authorized Official Name and Position | Jenna Braunesreither (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 6056890457 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Counseling & Family Services, Llc 311 Cedar St Yankton SD 57078-4335 Ph: (605) 689-0457 | Meridian Counseling & Family Services, Llc 311 Cedar St Yankton SD 57078-4335 Ph: (605) 689-0457 |
| NPI Number | 1447713318 |
|---|---|
| Provider Enumeration Date | 04/08/2019 |
| Last Update Date | 04/17/2020 |
| Certification Date | 04/17/2020 |
| Medicare PECOS PAC ID | 4789910712 |
|---|---|
| Medicare Enrollment ID | O20190729000889 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447713318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dana Dracy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932652872 PECOS PAC ID: 4880915263 Enrollment ID: I20190805003065 |
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