| The Support Circle, Inc | |
|
321 2nd Ave E Mobridge SD 57601-2617 | |
| (605) 845-2058 | |
| (606) 845-2062 |
| Full Name | The Support Circle, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 321 2nd Ave E, Mobridge, South Dakota |
| Authorized Official Name and Position | Jessica Lynne Haefner (FOUNDER, CEO, & THERAPIST) |
| Authorized Official Contact | 6058452058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Support Circle, Inc Po Box 684 Mobridge SD 57601-0684 Ph: (605) 845-2058 | The Support Circle, Inc 321 2nd Ave E Mobridge SD 57601-2617 Ph: (605) 845-2058 |
| NPI Number | 1457720476 |
|---|---|
| Provider Enumeration Date | 09/21/2015 |
| Last Update Date | 05/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457720476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 695-8-1-11-245 (North Dakota) | Secondary |
| 251S00000X | Community/behavioral Health | LPCMH2303 (South Dakota) | Primary |
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