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NPI Code Detail

MEDICARE: MRS. MICHELLE ANNE PLISKA NCC, LPC, QMHP

MEDICARE: MRS. MICHELLE ANNE PLISKA NCC, LPC, QMHP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLPC-MH30739SD
2101Y00000XCounselorLPC7118SD

General Provider Information

NPI Number : 1386029460
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE ANNE PLISKA NCC, LPC, QMHP
Provider Business Mailing Address
First Line : 100 N KROHN PL STE 309
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57103-1815
Country : US
Telephone Number : 605-940-2844
Fax Number : 605-202-7740
Provider Business Practice Location Address
First Line : 100 N KROHN PL STE 309
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57103-1815
Country : US
Telephone Number : 605-223-5155
Fax Number : 605-202-7740
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2015
Last Update Date : 09/17/2025

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