MEDICARE: FRICKE COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
2	261QM0850X	Adult Mental Health Clinic/Center
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1407678808
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRICKE COUNSELING LLC

Provider Business Mailing Address
First Line	:	8016 E NORWAY PINE TRL
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57110-4047
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 N CLIFF AVE STE 4
Second Line	:
City	:	HARRISBURG
State	:	SD
Zip	:	57032-2524
Country	:	US
Telephone Number	:	605-988-4431
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RACHAEL FRICKE
Credential	:
Telephone Number	:	605-988-4431

Provider Enumeration Date	:	10/28/2024
Last Update Date	:	01/31/2025

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