| Andrea Walcott, Llc | |
|
1113 Woods Cir Mitchell SD 57301-5212 | |
| (810) 417-0632 | |
| Not Available |
| Full Name | Andrea Walcott, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1113 Woods Cir, Mitchell, South Dakota |
| Authorized Official Name and Position | Andrea Walcott (OWNER) |
| Authorized Official Contact | 8104170632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Walcott, Llc 1113 Woods Cir Mitchell SD 57301-5212 Ph: (810) 417-0632 | Andrea Walcott, Llc 1113 Woods Cir Mitchell SD 57301-5212 Ph: (810) 417-0632 |
| NPI Number | 1407649254 |
|---|---|
| Provider Enumeration Date | 05/26/2025 |
| Last Update Date | 05/26/2025 |
| Certification Date | 05/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407649254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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