| Pathways Counseling, Llc | |
|
1601 E 69th St Ste 206 Sioux Falls SD 57108-8322 | |
| (605) 215-4364 | |
| Not Available |
| Full Name | Pathways Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1601 E 69th St Ste 206, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Aimee Peterson (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6052154364 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways Counseling, Llc 1601 E 69th St Ste 206 Sioux Falls SD 57108-8322 Ph: (605) 215-4364 | Pathways Counseling, Llc 1601 E 69th St Ste 206 Sioux Falls SD 57108-8322 Ph: (605) 215-4364 |
| NPI Number | 1477179919 |
|---|---|
| Provider Enumeration Date | 06/21/2020 |
| Last Update Date | 10/15/2020 |
| Certification Date | 10/15/2020 |
| Medicare PECOS PAC ID | 5890111389 |
|---|---|
| Medicare Enrollment ID | O20200814000085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477179919 | NPI | - | NPPES |
| 1477179919 | Medicaid | SD | |
| 1164086450 | Medicaid | SD | |
| 1528569001 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Aimee E Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164086450 PECOS PAC ID: 9830529510 Enrollment ID: I20200420003431 |
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