| Trichele Smith Counseling, Llc | |
|
1705 4th Ave Nw Minot ND 58703-2912 | |
| (701) 839-0474 | |
| (701) 839-0713 |
| Full Name | Trichele Smith Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1705 4th Ave Nw, Minot, North Dakota |
| Authorized Official Name and Position | Trichele Smith (OWNER) |
| Authorized Official Contact | 7018337812 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trichele Smith Counseling, Llc 10890 45th Ave Nw # 156 Sherwood ND 58782-9701 Ph: (701) 833-7812 | Trichele Smith Counseling, Llc 1705 4th Ave Nw Minot ND 58703-2912 Ph: (701) 839-0474 |
| NPI Number | 1982359451 |
|---|---|
| Provider Enumeration Date | 02/14/2022 |
| Last Update Date | 02/14/2022 |
| Certification Date | 02/14/2022 |
| Medicare PECOS PAC ID | 1759727928 |
|---|---|
| Medicare Enrollment ID | O20240311000667 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982359451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Trichele Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497416507 PECOS PAC ID: 5890131072 Enrollment ID: I20240327002502 |
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