Organization
SUPPORT CIRCLE INC
Active
Other names
The Support Circle, INC
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LYNNE HAEFNER LPCMH (OWNER)
(605) 845-2058
Entity
Organization
Contact information
Practice address
1710 E GRAND XING, MOBRIDGE, SD 57601-1414
(605) 845-2058
(606) 845-2062
Mailing address
1710 E GRAND XING, MOBRIDGE, SD 57601-1414
(605) 845-2058
(605) 845-2062
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
695-8-1-11-245
ND
251S00000X
Community/Behavioral Health Agency
Primary
LPCMH2303
SD
Other
Enumeration date
09/21/2015
Last updated
12/10/2024
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