MEDICARE: LIFEGATE CHRISTIAN COUNSELING

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	106H00000X	Marriage & Family Therapist	LMFT1176	SD

General Provider Information

NPI Number	:	1598169518
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFEGATE CHRISTIAN COUNSELING

Provider Business Mailing Address
First Line	:	2229 S PURDUE AVE
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57106-5141
Country	:	US
Telephone Number	:	605-929-1060
Fax Number	:	605-370-5330

Provider Business Practice Location Address
First Line	:	6820 W 26TH ST
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57106-4554
Country	:	US
Telephone Number	:	605-929-1060
Fax Number	:	605-370-5330

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LARRY PORTER
Credential	:	PHD
Telephone Number	:	605-929-1060

Provider Enumeration Date	:	10/20/2014
Last Update Date	:	10/20/2014

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1851515332 — DR. LAWRENCE PORTER PH.D.
Practice Location Address:

6820 W 26TH ST
SIOUX FALLS, SD
57106-4554

Practice Phone: 605-929-1060
Practice Fax: 801-904-1060

1629929245 — DAY ONE DENTURES & IMPLANTS LLC
Practice Location Address:

4208 W EMPIRE PL
SIOUX FALLS, SD
57106-6526

Practice Phone: 605-271-1049
Practice Fax:

1376495358 — NORTHWESTERN LIVING LLC
Practice Location Address:

4320 S LOUISE AVE STE 203C
SIOUX FALLS, SD
57106-3143

Practice Phone: 612-450-1096
Practice Fax:

1093711566 — DAWN M. SNOW MD
Practice Location Address:

2100 S MARION RD
SIOUX FALLS, SD
57106-3646

Practice Phone: 605-322-5180
Practice Fax: 605-322-5180

1588667141 — MRS. NICHOLE MICHELLE CAUWELS DDS
Practice Location Address:

6100 W 41ST STREET , SUITE 101
SIOUX FALLS, SD
57106

Practice Phone: 605-361-1900
Practice Fax: 605-361-3599

Directions to “LIFEGATE CHRISTIAN COUNSELING ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.