Healthcare Provider Details

I. General information

NPI: 1528986841
Provider Name (Legal Business Name): DIANA CRUZ THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 N DAKOTA AVE
SIOUX FALLS SD
57104-6037
US

IV. Provider business mailing address

300 N DAKOTA AVE
SIOUX FALLS SD
57104-6037
US

V. Phone/Fax

Practice location:
  • Phone: 612-293-6197
  • Fax: 612-329-0756
Mailing address:
  • Phone: 612-293-6197
  • Fax: 612-329-0756

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: DIANA CRUZ
Title or Position: MENTAL HEALTH THERAPIST
Credential: LCSW, LAC, QMHP
Phone: 605-906-4238