Healthcare Provider Details

I. General information

NPI: 1558757534
Provider Name (Legal Business Name): ELINE J APPLETOFT-KNIE LPC, LPC-MH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2015
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 8TH AVE NE STE 135
ABERDEEN SD
57401-3254
US

IV. Provider business mailing address

2301 8TH AVE NE STE 135
ABERDEEN SD
57401-3254
US

V. Phone/Fax

Practice location:
  • Phone: 605-725-2230
  • Fax:
Mailing address:
  • Phone: 605-725-2230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: