Provider Demographics
NPI:1104042696
Name:KOENIGS, TONJA S (LCSW PIP)
Entity type:Individual
Prefix:MRS
First Name:TONJA
Middle Name:S
Last Name:KOENIGS
Suffix:
Gender:F
Credentials:LCSW PIP
Other - Prefix:MS
Other - First Name:TONJA
Other - Middle Name:S
Other - Last Name:LINDSTROM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:904 W 23RD ST
Mailing Address - Street 2:HEARTLAND PSYCHOLOGICAL SERVICES STE 101
Mailing Address - City:YANKTON
Mailing Address - State:SD
Mailing Address - Zip Code:57078
Mailing Address - Country:US
Mailing Address - Phone:605-665-0841
Mailing Address - Fax:605-665-0096
Practice Address - Street 1:904 W 23RD ST
Practice Address - Street 2:HEARTLAND PSYCHOLOGICAL SERVICES STE 101
Practice Address - City:YANKTON
Practice Address - State:SD
Practice Address - Zip Code:57078
Practice Address - Country:US
Practice Address - Phone:605-665-0841
Practice Address - Fax:605-665-0096
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD22221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical