Healthcare Provider Details
I. General information
NPI: 1205740149
Provider Name (Legal Business Name): RACHEL N ABRAHAM LPC-MH
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
113 N SAINT PAUL AVE
SIOUX FALLS SD
57103-1867
US
IV. Provider business mailing address
113 N SAINT PAUL AVE
SIOUX FALLS SD
57103-1867
US
V. Phone/Fax
- Phone: 605-338-4880
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 30958 |
| License Number State | SD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: