| Nikki Rae Llc | |
|
3500 S Phillips Ave Ste 241 Sioux Falls SD 57105-6863 | |
| (605) 403-4167 | |
| Not Available |
| Full Name | Nikki Rae Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3500 S Phillips Ave Ste 241, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Nikki Roth (CLINICAL THERAPIST) |
| Authorized Official Contact | 6054034167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nikki Rae Llc 3500 S Phillips Ave Ste 241 Sioux Falls SD 57105-6863 Ph: (605) 403-4167 | Nikki Rae Llc 3500 S Phillips Ave Ste 241 Sioux Falls SD 57105-6863 Ph: (605) 403-4167 |
| NPI Number | 1740923721 |
|---|---|
| Provider Enumeration Date | 04/18/2022 |
| Last Update Date | 04/18/2022 |
| Certification Date | 04/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740923721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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