| Prairie Winds Counseling, Llc | |
|
311 S Main St Milbank SD 57252-1810 | |
| (605) 660-0759 | |
| Not Available |
| Full Name | Prairie Winds Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 311 S Main St, Milbank, South Dakota |
| Authorized Official Name and Position | Patricia R Johnson (OWNER) |
| Authorized Official Contact | 6056600759 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Winds Counseling, Llc Po Box 386 Milbank SD 57252-0386 Ph: (605) 660-0759 | Prairie Winds Counseling, Llc 311 S Main St Milbank SD 57252-1810 Ph: (605) 660-0759 |
| NPI Number | 1134779960 |
|---|---|
| Provider Enumeration Date | 09/13/2019 |
| Last Update Date | 01/05/2023 |
| Certification Date | 01/05/2023 |
| Medicare PECOS PAC ID | 7618398157 |
|---|---|
| Medicare Enrollment ID | O20200609001254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134779960 | NPI | - | NPPES |
| 137534 | Other | SD | WELLMARK |
| 2017042 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Patricia R Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164413670 PECOS PAC ID: 7911096151 Enrollment ID: I20160219000848 |
Kimberly Lightfield Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 Park Dr, Milbank, SD 57252 Phone: 605-237-1686 |