Healthcare Provider Details

I. General information

NPI: 1083558613
Provider Name (Legal Business Name): LAURA MCCORD LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5515 E 18TH ST STE 140
SIOUX FALLS SD
57110-2870
US

IV. Provider business mailing address

7317 W 53RD ST
SIOUX FALLS SD
57106-7571
US

V. Phone/Fax

Practice location:
  • Phone: 605-789-3039
  • Fax:
Mailing address:
  • Phone: 605-212-5851
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number20899
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: