MEDICARE: MEDICINE VOICE HEALING CENTER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	1683	SD

General Provider Information

NPI Number	:	1881044782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICINE VOICE HEALING CENTER

Provider Business Mailing Address
First Line	:	1738 ALBANY AVE
Second Line	:	STE 2
City	:	HOT SPRINGS
State	:	SD
Zip	:	57747-2100
Country	:	US
Telephone Number	:	605-745-5251
Fax Number	:	605-745-6813

Provider Business Practice Location Address
First Line	:	1738 ALBANY AVE
Second Line	:	STE 2
City	:	HOT SPRINGS
State	:	SD
Zip	:	57747-2100
Country	:	US
Telephone Number	:	605-745-5251
Fax Number	:	605-745-6813

Authorized Official
Title or Position	:	OWNER
Name	:	DANIALLE DIANE ROSE
Credential	:	LCSW
Telephone Number	:	605-745-5251

Provider Enumeration Date	:	06/21/2016
Last Update Date	:	06/21/2016

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Directions to “MEDICINE VOICE HEALING CENTER ” Practice Location

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