| Practical Christian Counseling, Inc. | |
|
1351 Jolly Ln Rapid City SD 57703-4763 | |
| (605) 484-7089 | |
| Not Available |
| Full Name | Practical Christian Counseling, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 1351 Jolly Ln, Rapid City, South Dakota |
| Authorized Official Name and Position | Richard Scott Wiley (COUNSELOR/OWNER) |
| Authorized Official Contact | 6054847089 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Practical Christian Counseling, Inc. 4951 Hansen Ln Rapid City SD 57703-0147 Ph: () - | Practical Christian Counseling, Inc. 1351 Jolly Ln Rapid City SD 57703-4763 Ph: (605) 484-7089 |
| NPI Number | 1376015123 |
|---|---|
| Provider Enumeration Date | 12/18/2018 |
| Last Update Date | 06/20/2019 |
| Medicare PECOS PAC ID | 2466890579 |
|---|---|
| Medicare Enrollment ID | O20240409003357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376015123 | NPI | - | NPPES |
| Provider Name | Richard Scott Wiley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770944498 PECOS PAC ID: 1850739962 Enrollment ID: I20240409003241 |
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