| Stacey Hauck Counseling Llc | |
|
1601 E 69th St Ste 202 Sioux Falls SD 57108-8322 | |
| (605) 271-9890 | |
| (605) 799-8174 |
| Full Name | Stacey Hauck Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 1601 E 69th St Ste 202, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Stacey Hauck (COUNSELOR) |
| Authorized Official Contact | 6052719890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Hauck Counseling Llc 1601 E 69th St Ste 202 Sioux Falls SD 57108-8322 Ph: (605) 271-9890 | Stacey Hauck Counseling Llc 1601 E 69th St Ste 202 Sioux Falls SD 57108-8322 Ph: (605) 271-9890 |
| NPI Number | 1699544957 |
|---|---|
| Provider Enumeration Date | 12/28/2023 |
| Last Update Date | 12/28/2023 |
| Certification Date | 12/11/2023 |
| Medicare PECOS PAC ID | 0840643672 |
|---|---|
| Medicare Enrollment ID | O20240129002647 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699544957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Stacey Lynn Hauck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881852119 PECOS PAC ID: 1759734585 Enrollment ID: I20240129003026 |
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