| Journey To Change Counseling Llc | |
|
311 Walnut St Yankton SD 57078-4360 | |
| (605) 665-8529 | |
| Not Available |
| Full Name | Journey To Change Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 311 Walnut St, Yankton, South Dakota |
| Authorized Official Name and Position | Mary Kay Healy (MEMBER) |
| Authorized Official Contact | 6056185296 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey To Change Counseling Llc 504 Locust St Yankton SD 57078-3939 Ph: (605) 665-8529 | Journey To Change Counseling Llc 311 Walnut St Yankton SD 57078-4360 Ph: (605) 665-8529 |
| NPI Number | 1093287096 |
|---|---|
| Provider Enumeration Date | 01/02/2019 |
| Last Update Date | 01/04/2019 |
| Medicare PECOS PAC ID | 4284976515 |
|---|---|
| Medicare Enrollment ID | O20190507000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093287096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mary Kay Healy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851372593 PECOS PAC ID: 4385778539 Enrollment ID: I20190507000070 |
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