| Sieck Therapy | |
|
700 S 8th Ave Brandon SD 57005-1772 | |
| (605) 582-4722 | |
| (605) 582-3197 |
| Full Name | Sieck Therapy |
|---|---|
| Speciality | Clinic/Center |
| Location | 700 S 8th Ave, Brandon, South Dakota |
| Authorized Official Name and Position | Amanda Lee Sieck (THERAPIST) |
| Authorized Official Contact | 6053662515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sieck Therapy 700 S 8th Ave Brandon SD 57005-1772 Ph: (605) 582-4722 | Sieck Therapy 700 S 8th Ave Brandon SD 57005-1772 Ph: (605) 582-4722 |
| NPI Number | 1639884471 |
|---|---|
| Provider Enumeration Date | 01/17/2023 |
| Last Update Date | 01/17/2023 |
| Certification Date | 01/17/2023 |
| Medicare PECOS PAC ID | 2062885080 |
|---|---|
| Medicare Enrollment ID | O20230222001251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639884471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Amanda Lee Sieck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528773520 PECOS PAC ID: 3971976994 Enrollment ID: I20230222001516 |
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