| Footsteps Counseling, Llc | |
|
514 S Main St Aberdeen SD 57401-4165 | |
| (605) 377-7570 | |
| Not Available |
| Full Name | Footsteps Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 514 S Main St, Aberdeen, South Dakota |
| Authorized Official Name and Position | Heidie J Holmstrom (OWNER/ LICENSED PROFESSIONAL COUNSE) |
| Authorized Official Contact | 6053777570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Footsteps Counseling, Llc Po Box 1221 Aberdeen SD 57402-1221 Ph: (605) 377-7570 | Footsteps Counseling, Llc 514 S Main St Aberdeen SD 57401-4165 Ph: (605) 377-7570 |
| NPI Number | 1407205339 |
|---|---|
| Provider Enumeration Date | 06/10/2016 |
| Last Update Date | 01/31/2017 |
| Medicare PECOS PAC ID | 1658724364 |
|---|---|
| Medicare Enrollment ID | O20240130001046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407205339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC 7375 (South Dakota) | Secondary |
| 101YP2500X | Counselor - Professional | LPCMH2309 (South Dakota) | Primary |
| Provider Name | Heidie J Holmstrom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093184681 PECOS PAC ID: 8921441213 Enrollment ID: I20240202002668 |
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