Provider Demographics
NPI:1811657497
Name:COMPLETE INTEGRATED CARE, PLLC
Entity type:Organization
Organization Name:COMPLETE INTEGRATED CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HEUER
Authorized Official - Suffix:
Authorized Official - Credentials:CNP, PMHNP-BC
Authorized Official - Phone:605-280-4271
Mailing Address - Street 1:6404 S EL DORADO AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-8446
Mailing Address - Country:US
Mailing Address - Phone:605-231-8424
Mailing Address - Fax:605-231-8424
Practice Address - Street 1:5000 S MAC ARTHUR LN STE 104
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-5407
Practice Address - Country:US
Practice Address - Phone:605-231-8424
Practice Address - Fax:605-231-8424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-23
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD2018332Medicaid