| Journey For Change Llc | |
|
1719 W Main St Rapid City SD 57702-2564 | |
| (605) 519-8027 | |
| Not Available |
| Full Name | Journey For Change Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1719 W Main St, Rapid City, South Dakota |
| Authorized Official Name and Position | Jeff Wahl (OWNER) |
| Authorized Official Contact | 6055198027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey For Change Llc 3514 Powderhorn Cir Rapid City SD 57702-4888 Ph: () - | Journey For Change Llc 1719 W Main St Rapid City SD 57702-2564 Ph: (605) 519-8027 |
| NPI Number | 1366176992 |
|---|---|
| Provider Enumeration Date | 07/11/2022 |
| Last Update Date | 07/11/2022 |
| Certification Date | 07/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366176992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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