| Sage Counseling Services Llc | |
|
700 S 8th Ave Brandon SD 57005-1772 | |
| (605) 582-4722 | |
| Not Available |
| Full Name | Sage Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 700 S 8th Ave, Brandon, South Dakota |
| Authorized Official Name and Position | Erica Gloor (OWNER/THERAPIST) |
| Authorized Official Contact | 6055824722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Counseling Services Llc 700 S 8th Ave Brandon SD 57005-1772 Ph: (605) 582-4722 | Sage Counseling Services Llc 700 S 8th Ave Brandon SD 57005-1772 Ph: (605) 582-4722 |
| NPI Number | 1134945280 |
|---|---|
| Provider Enumeration Date | 11/22/2024 |
| Last Update Date | 11/27/2024 |
| Certification Date | 11/27/2024 |
| Medicare PECOS PAC ID | 8820527989 |
|---|---|
| Medicare Enrollment ID | O20250120000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134945280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Erica Anne Gloor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407178668 PECOS PAC ID: 0143672634 Enrollment ID: I20240119003908 |
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