Healthcare Provider Details

I. General information

NPI: 1770980195
Provider Name (Legal Business Name): SIOUX FALLS WELLNESS COUNSELING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2014
Last Update Date: 05/03/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3508 S MINNESOTA AVE # 100
SIOUX FALLS SD
57105-6457
US

IV. Provider business mailing address

3508 S MINNESOTA AVE # 100
SIOUX FALLS SD
57105-6457
US

V. Phone/Fax

Practice location:
  • Phone: 605-610-9228
  • Fax: 605-496-9989
Mailing address:
  • Phone: 605-610-9228
  • Fax: 605-496-9989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: RITA LYNN HANSEN
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC-MH
Phone: 605-610-9228