Healthcare Provider Details

I. General information

NPI: 1003767526
Provider Name (Legal Business Name): TROY SOAT LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5032 S BUR OAK PL STE 117
SIOUX FALLS SD
57108-2244
US

IV. Provider business mailing address

5000 S BROADBAND LN STE 119
SIOUX FALLS SD
57108-2261
US

V. Phone/Fax

Practice location:
  • Phone: 605-777-0075
  • Fax: 888-977-2561
Mailing address:
  • Phone: 605-777-0075
  • Fax: 888-977-2561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC20981
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: