Peak Vitality Counseling Services | |
403 National St Ste 1 Rapid City SD 57702-5908 | |
(605) 341-8647 | |
(605) 341-0489 |
Full Name | Peak Vitality Counseling Services |
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Speciality | Counselor |
Location | 403 National St Ste 1, Rapid City, South Dakota |
Authorized Official Name and Position | Michelle Marie Veneklasen (OWNER) |
Authorized Official Contact | 6055936505 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Peak Vitality Counseling Services 403 National St Ste 1 Rapid City SD 57702-5908 Ph: (605) 341-8647 | Peak Vitality Counseling Services 403 National St Ste 1 Rapid City SD 57702-5908 Ph: (605) 341-8647 |
NPI Number | 1487024972 |
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Provider Enumeration Date | 09/28/2015 |
Last Update Date | 04/23/2024 |
Certification Date | 04/23/2024 |
Medicare PECOS PAC ID | 0345688099 |
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Medicare Enrollment ID | O20240401002796 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487024972 | NPI | - | NPPES |
Provider Name | Michelle Veneklasen |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1790154094 PECOS PAC ID: 1254779903 Enrollment ID: I20240423004389 |
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