Organization
PROGRESSION PSYCHOLOGICAL & BEHAVIORAL HEALTH GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINETTE GOODEN LPC (CLINICAL DIRECTOR)
(605) 646-3045
Entity
Organization
Contact information
Practice address
414 E CLARK STREET,, VERMILLION, SD 57069
(605) 646-3045
(888) 907-1567
Mailing address
514 AMERICAS WAY STE 19397, BOX ELDER, SD 57719-7600
(605) 646-3045
(888) 907-1567
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
171000000X
Military Health Care Provider
—
—
172A00000X
Driver
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
09/22/2023
Last updated
10/20/2023
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