Healthcare Provider Details

I. General information

NPI: 1174430995
Provider Name (Legal Business Name): RELATIONSHIP WISDOM MARRIAGE & FAMILY THERAPY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 E 3RD AVE
LENNOX SD
57039-2147
US

IV. Provider business mailing address

312 E 3RD AVE
LENNOX SD
57039-2147
US

V. Phone/Fax

Practice location:
  • Phone: 650-676-7575
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: BRAD ALLEN BYRUM
Title or Position: PRESIDENT & CEO
Credential: LMFT
Phone: 650-676-7575