| Suzette Wasvick Counseling Services, Inc. | |
|
403 National St Ste 1 Rapid City SD 57702-5908 | |
| (605) 341-8647 | |
| (605) 341-8647 |
| Full Name | Suzette Wasvick Counseling Services, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 403 National St Ste 1, Rapid City, South Dakota |
| Authorized Official Name and Position | Suzette Wasvick (OWNER) |
| Authorized Official Contact | 6053908791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzette Wasvick Counseling Services, Inc. Po Box 763 Hill City SD 57745-0763 Ph: (605) 390-8791 | Suzette Wasvick Counseling Services, Inc. 403 National St Ste 1 Rapid City SD 57702-5908 Ph: (605) 341-8647 |
| NPI Number | 1992199988 |
|---|---|
| Provider Enumeration Date | 03/27/2015 |
| Last Update Date | 02/01/2024 |
| Certification Date | 02/01/2024 |
| Medicare PECOS PAC ID | 1052752540 |
|---|---|
| Medicare Enrollment ID | O20240515002006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992199988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | 2264 (South Dakota) | Secondary |
| Provider Name | Suzette Wasvick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508295312 PECOS PAC ID: 6305286204 Enrollment ID: I20240425001674 |
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