Healthcare Provider Details
I. General information
NPI: 1588529150
Provider Name (Legal Business Name): CARSTEN PSYCHOTHERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 N DAKOTA AVE STE 403
SIOUX FALLS SD
57104-6032
US
IV. Provider business mailing address
300 N DAKOTA AVE STE 403
SIOUX FALLS SD
57104-6032
US
V. Phone/Fax
- Phone: 605-566-6141
- Fax: 605-566-6151
- Phone: 605-566-6141
- Fax: 605-566-6151
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LEXY
MARIE
CARSTEN
Title or Position: OWNER
Credential: LPC
Phone: 605-566-6141