Healthcare Provider Details

I. General information

NPI: 1003779653
Provider Name (Legal Business Name): WECKMAN PSYCHOTHERAPY & CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 E. 57TH STREET SUITE 116
SIOUX FALLS SD
57108
US

IV. Provider business mailing address

1905 E ARROWHEAD PASS
SIOUX FALLS SD
57103-4509
US

V. Phone/Fax

Practice location:
  • Phone: 605-777-1942
  • Fax:
Mailing address:
  • Phone: 605-366-7487
  • Fax:

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: MR. ANDREW WECKMAN
Title or Position: OWNER/THERAPIST
Credential: MA, LPC-MH, CAC,QMHP
Phone: 605-366-7487