Healthcare Provider Details

I. General information

NPI: 1689238941
Provider Name (Legal Business Name): HELENA MARIE DUFAULT LCSW, ACT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2019
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7401 S BITTERROOT PL STE 301
SIOUX FALLS SD
57108-1610
US

IV. Provider business mailing address

2404 S 4TH AVE
SIOUX FALLS SD
57105-3955
US

V. Phone/Fax

Practice location:
  • Phone: 605-405-8532
  • Fax:
Mailing address:
  • Phone: 605-376-2691
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number3275
License Number StateSD
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number7998
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: