| Prairie River Counseling Pllc | |
|
33148 K22 Sioux City IA 51108-8630 | |
| (712) 301-7411 | |
| Not Available |
| Full Name | Prairie River Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 33148 K22, Sioux City, Iowa |
| Authorized Official Name and Position | Rebecca Simoni-ryan (MANAGER/THERAPIST) |
| Authorized Official Contact | 7123017411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie River Counseling Pllc 828 Romans Rd Sioux City IA 51106-9671 Ph: () - | Prairie River Counseling Pllc 33148 K22 Sioux City IA 51108-8630 Ph: (712) 301-7411 |
| NPI Number | 1477324044 |
|---|---|
| Provider Enumeration Date | 01/12/2024 |
| Last Update Date | 01/17/2024 |
| Certification Date | 01/14/2024 |
| Medicare PECOS PAC ID | 5890139125 |
|---|---|
| Medicare Enrollment ID | O20240214004073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477324044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Rebecca Ann Simoni-ryan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295346815 PECOS PAC ID: 7315396496 Enrollment ID: I20231214001923 |
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