| Four Rivers, Llc | |
|
922 4th St Suite A Brookings SD 57006-2173 | |
| (605) 692-6444 | |
| (605) 692-8997 |
| Full Name | Four Rivers, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 922 4th St, Brookings, South Dakota |
| Authorized Official Name and Position | Linda K. Vande Weerd (OWNER/CLINICAL THERAPIST) |
| Authorized Official Contact | 6056926444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Rivers, Llc 922 4th St Suite A Brookings SD 57006-2173 Ph: (605) 692-6444 | Four Rivers, Llc 922 4th St Suite A Brookings SD 57006-2173 Ph: (605) 692-6444 |
| NPI Number | 1982085395 |
|---|---|
| Provider Enumeration Date | 06/11/2015 |
| Last Update Date | 06/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982085395 | NPI | - | NPPES |
| 6575272 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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