| Gabissa Llc | |
|
438 Baltimore Ave Hot Springs SD 57747-2434 | |
| (314) 825-7705 | |
| (833) 542-3214 |
| Full Name | Gabissa Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 438 Baltimore Ave, Hot Springs, South Dakota |
| Authorized Official Name and Position | Lonnie Stuckey (OWNER) |
| Authorized Official Contact | 3148257705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gabissa Llc Po Box 478 Hot Springs SD 57747-0478 Ph: (314) 825-7705 | Gabissa Llc 438 Baltimore Ave Hot Springs SD 57747-2434 Ph: (314) 825-7705 |
| NPI Number | 1699664656 |
|---|---|
| Provider Enumeration Date | 07/02/2025 |
| Last Update Date | 07/02/2025 |
| Certification Date | 07/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699664656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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