| Michelle Vandenhul, Llc | |
|
5000 S Minnesota Ave Suite 200 Sioux Falls SD 57108-2707 | |
| (605) 271-1348 | |
| (605) 610-1477 |
| Full Name | Michelle Vandenhul, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5000 S Minnesota Ave, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Michelle Ann Vandenhul (OWNER) |
| Authorized Official Contact | 6052711348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Vandenhul, Llc 5000 S Minnesota Ave Suite 200 Sioux Falls SD 57108-2707 Ph: (605) 271-1348 | Michelle Vandenhul, Llc 5000 S Minnesota Ave Suite 200 Sioux Falls SD 57108-2707 Ph: (605) 271-1348 |
| NPI Number | 1023424199 |
|---|---|
| Provider Enumeration Date | 07/09/2014 |
| Last Update Date | 07/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023424199 | NPI | - | NPPES |
| 6571610 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2740 (South Dakota) | Primary |
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