Rooted & Rising Counseling Services Llc | |
556 Norad Dr Box Elder SD 57719-8114 | |
(605) 702-4731 | |
Not Available |
Full Name | Rooted & Rising Counseling Services Llc |
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Speciality | Social Worker |
Location | 556 Norad Dr, Box Elder, South Dakota |
Authorized Official Name and Position | Stephanie Beard (MENTAL HEALTH THERAPIST) |
Authorized Official Contact | 6057024731 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rooted & Rising Counseling Services Llc 3213 W Main St # 123 Rapid City SD 57702-2314 Ph: (605) 702-4731 | Rooted & Rising Counseling Services Llc 556 Norad Dr Box Elder SD 57719-8114 Ph: (605) 702-4731 |
NPI Number | 1740985688 |
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Provider Enumeration Date | 03/31/2023 |
Last Update Date | 04/01/2023 |
Certification Date | 04/01/2023 |
Medicare PECOS PAC ID | 2961869862 |
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Medicare Enrollment ID | O20230608001166 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740985688 | NPI | - | NPPES |
1770167710 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Stephanie Joyce Beard |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1770167710 PECOS PAC ID: 3870950777 Enrollment ID: I20230608002271 |
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