Danielle Lavon Hertel, | |
317 N Heritage Ave, Tea, SD 57064-2539 | |
(605) 494-1500 | |
Not Available |
Full Name | Danielle Lavon Hertel |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 317 N Heritage Ave, Tea, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982370243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LPC-20661-SUPV (South Dakota) | Primary |
Entity Name | Sanford Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821017880 PECOS PAC ID: 8325950215 Enrollment ID: O20040115000388 |
Mailing Address | Practice Location Address |
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Danielle Lavon Hertel, 420 S Henry St, Pierre, SD 57501-4515 Ph: () - | Danielle Lavon Hertel, 317 N Heritage Ave, Tea, SD 57064-2539 Ph: (605) 494-1500 |
Mackenzie Burns, LPCC, LPC-MH Counselor Medicare: Not Enrolled in Medicare Practice Location: 317 N Heritage Ave, Tea, SD 57064 Phone: 605-494-1500 | |
Bonnie Jean Haack, LPC-MH Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 W 1st St, Tea, SD 57064 Phone: 605-777-1898 Fax: 605-777-1899 | |
Ellen Oppold, MA, LPC-MH, QMHP Counselor Medicare: Medicare Enrolled Practice Location: 317 N Heritage Ave, Tea, SD 57064 Phone: 605-494-1500 |