Healthcare Provider Details

I. General information

NPI: 1952236119
Provider Name (Legal Business Name): AMANDA HIGHLAND LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1417 S MINNESOTA AVE
SIOUX FALLS SD
57105-1715
US

IV. Provider business mailing address

307 N FEYDER AVE
HARTFORD SD
57033-2250
US

V. Phone/Fax

Practice location:
  • Phone: 605-271-2168
  • Fax:
Mailing address:
  • Phone: 605-464-0214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC21029
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: