| Mindful Roots Counseling Services Llc | |
|
634 S Roosevelt St Ste 4 Aberdeen SD 57401-6593 | |
| (605) 846-7038 | |
| (605) 401-4087 |
| Full Name | Mindful Roots Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 634 S Roosevelt St Ste 4, Aberdeen, South Dakota |
| Authorized Official Name and Position | Becky Schuldt (OWNER) |
| Authorized Official Contact | 6058467038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Roots Counseling Services Llc 634 S Roosevelt St Ste 4 Aberdeen SD 57401-6593 Ph: (605) 846-7038 | Mindful Roots Counseling Services Llc 634 S Roosevelt St Ste 4 Aberdeen SD 57401-6593 Ph: (605) 846-7038 |
| NPI Number | 1306527908 |
|---|---|
| Provider Enumeration Date | 07/26/2023 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Medicare PECOS PAC ID | 0941643142 |
|---|---|
| Medicare Enrollment ID | O20240205002350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306527908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Becky Renae Schuldt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821363474 PECOS PAC ID: 1850734054 Enrollment ID: I20240205002442 |
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