| The Wellness Collective | |
|
2333 W 57th St Ste 103 Sioux Falls SD 57108-5054 | |
| (605) 271-5640 | |
| Not Available |
| Full Name | The Wellness Collective |
|---|---|
| Speciality | Social Worker |
| Location | 2333 W 57th St Ste 103, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Amanda Briggs Davis (OWNER) |
| Authorized Official Contact | 6052715640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wellness Collective 2333 W 57th St Ste 103 Sioux Falls SD 57108-5054 Ph: (605) 271-5640 | The Wellness Collective 2333 W 57th St Ste 103 Sioux Falls SD 57108-5054 Ph: (605) 271-5640 |
| NPI Number | 1679195580 |
|---|---|
| Provider Enumeration Date | 05/13/2020 |
| Last Update Date | 10/03/2020 |
| Certification Date | 10/03/2020 |
| Medicare PECOS PAC ID | 1951722834 |
|---|---|
| Medicare Enrollment ID | O20200601002419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679195580 | NPI | - | NPPES |
| 1922396027 | Medicaid | SD | |
| S50694 | Other | SD | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amanda B Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922396027 PECOS PAC ID: 6800069600 Enrollment ID: I20111021000411 |
| Provider Name | Heather M Casper-mclay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023426350 PECOS PAC ID: 4183845860 Enrollment ID: I20141021003272 |
| Provider Name | Tegan A Mcmanaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619639408 PECOS PAC ID: 1759772957 Enrollment ID: I20211223000365 |
| Provider Name | Sydney A Schuyler |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1457011603 PECOS PAC ID: 0547657843 Enrollment ID: I20220504002116 |
| Provider Name | Brigitta Bly |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669089116 PECOS PAC ID: 8325427990 Enrollment ID: I20220628002388 |
| Provider Name | Jessica Scheibe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457762262 PECOS PAC ID: 7012226459 Enrollment ID: I20220630001908 |
| Provider Name | Hannah Blankespoor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629703665 PECOS PAC ID: 3072980291 Enrollment ID: I20221101001506 |
| Provider Name | Derek Granum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982259230 PECOS PAC ID: 6507198595 Enrollment ID: I20240109002929 |
| Provider Name | Cristina Elisa Buus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164949442 PECOS PAC ID: 1951747328 Enrollment ID: I20240307001623 |
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