| Black Hills Counseling Llc | |
|
1238 Main St Ste 4 Sturgis SD 57785-1540 | |
| (605) 720-8090 | |
| (605) 720-8090 |
| Full Name | Black Hills Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 1238 Main St Ste 4, Sturgis, South Dakota |
| Authorized Official Name and Position | Jeffrey Dekraai (OWNER) |
| Authorized Official Contact | 6057208090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Hills Counseling Llc 1238 Main St Ste 4 Sturgis SD 57785-1540 Ph: (605) 720-8090 | Black Hills Counseling Llc 1238 Main St Ste 4 Sturgis SD 57785-1540 Ph: (605) 720-8090 |
| NPI Number | 1205999315 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 06/26/2024 |
| Medicare PECOS PAC ID | 1052857398 |
|---|---|
| Medicare Enrollment ID | O20240723004046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205999315 | NPI | - | NPPES |
| 1002553 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jeffrey E Dekraai |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871621292 PECOS PAC ID: 2961948203 Enrollment ID: I20240723004090 |
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