Healthcare Provider Details

I. General information

NPI: 1639073380
Provider Name (Legal Business Name): JEANNE WEYEN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
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

716 N LINDA AVE
SIOUX FALLS SD
57103-0724
US

V. Phone/Fax

Practice location:
  • Phone: 605-338-0116
  • Fax: 605-336-9511
Mailing address:
  • Phone: 605-338-0116
  • Fax: 605-336-9511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC1051
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: