Resiliency Mental Health | |
5625 S Southeastern Ave Sioux Falls SD 57108-8600 | |
(605) 731-6133 | |
Not Available |
Full Name | Resiliency Mental Health |
---|---|
Speciality | Clinic/Center |
Location | 5625 S Southeastern Ave, Sioux Falls, South Dakota |
Authorized Official Name and Position | Amy Marschall (PSYCHOLOGIST) |
Authorized Official Contact | 6057741754 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Resiliency Mental Health 2522 W 41st St # 154 Sioux Falls SD 57105-6120 Ph: (605) 744-1754 | Resiliency Mental Health 5625 S Southeastern Ave Sioux Falls SD 57108-8600 Ph: (605) 731-6133 |
NPI Number | 1215672100 |
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Provider Enumeration Date | 05/04/2022 |
Last Update Date | 08/25/2022 |
Medicare PECOS PAC ID | 6204210164 |
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Medicare Enrollment ID | O20220826002156 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215672100 | NPI | - | NPPES |
1750728721 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Amy L Marschall |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1750728721 PECOS PAC ID: 1355682071 Enrollment ID: I20220826002377 |
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