| Wevolve Counseling Services, Llc | |
|
5000 S Minnesota Ave Ste 315 Sioux Falls SD 57108-2700 | |
| (605) 212-2335 | |
| (605) 653-1645 |
| Full Name | Wevolve Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5000 S Minnesota Ave Ste 315, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Kelsey Theesfeld (PRESIDENT) |
| Authorized Official Contact | 6052122335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wevolve Counseling Services, Llc 5000 S Minnesota Ave Ste 315 Sioux Falls SD 57108-2700 Ph: (605) 212-2335 | Wevolve Counseling Services, Llc 5000 S Minnesota Ave Ste 315 Sioux Falls SD 57108-2700 Ph: (605) 212-2335 |
| NPI Number | 1134876519 |
|---|---|
| Provider Enumeration Date | 03/07/2022 |
| Last Update Date | 10/07/2022 |
| Certification Date | 06/09/2022 |
| Medicare PECOS PAC ID | 0840677084 |
|---|---|
| Medicare Enrollment ID | O20220510000525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134876519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kelsey Lynn Theesfeld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992348817 PECOS PAC ID: 1456757525 Enrollment ID: I20210915001869 |
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