MEDICARE: MK COUNSELING LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	104100000X	Social Worker

General Provider Information

NPI Number	:	1457029597
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MK COUNSELING LLC

Provider Business Mailing Address
First Line	:	3101 S PHILLIPS AVE
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57105-5722
Country	:	US
Telephone Number	:	605-231-8387
Fax Number	:

Provider Business Practice Location Address
First Line	:	3101 S PHILLIPS AVE
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57105-5722
Country	:	US
Telephone Number	:	605-231-8387
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL THERAPIST
Name	:	MEGAN ENGDAHL
Credential	:	CSW-PIP
Telephone Number	:	605-231-8387

Provider Enumeration Date	:	09/02/2021
Last Update Date	:	04/22/2025

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Directions to “MK COUNSELING LLC ” Practice Location

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