Healthcare Provider Details

I. General information

NPI: 1780513929
Provider Name (Legal Business Name): PAWS FOR HEALING COUNSELING AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7405 S BITTERROOT PL
SIOUX FALLS SD
57108-1602
US

IV. Provider business mailing address

1524 E BIRCH ST
BRANDON SD
57005-2017
US

V. Phone/Fax

Practice location:
  • Phone: 605-254-2933
  • Fax:
Mailing address:
  • Phone: 605-254-2933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ALICIA HAGSTROM
Title or Position: OWNER
Credential: LPC-MH, LAC
Phone: 605-254-2933