Healthcare Provider Details
I. General information
NPI: 1972260180
Provider Name (Legal Business Name): CHRISTY LYNN STUETELBERG LPCMH, LMHC, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/22/2021
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2929 ST. ANDREWS WAY
SIOUX CENTER IA
51250
US
IV. Provider business mailing address
1184 13TH ST NE
SIOUX CENTER IA
51250-7524
US
V. Phone/Fax
- Phone: 712-722-5560
- Fax:
- Phone: 605-310-3212
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 111880 |
| License Number State | IA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | LPCMH2270 |
| License Number State | SD |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | 03121173 |
| License Number State | SD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: