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NPI Code Detail

MEDICARE: SIOUX FALLS MENTAL HEALTH SERVICES

MEDICARE: SIOUX FALLS MENTAL HEALTH SERVICES
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 Counselor

General Provider Information

NPI Number : 1588239818
Entity Type Code : Organization
Provider Name (Legal Business Name) : SIOUX FALLS MENTAL HEALTH SERVICES
Provider Business Mailing Address
First Line : 100 N KROHN PL
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57103-1815
Country : US
Telephone Number : 605-212-4357
Fax Number :
Provider Business Practice Location Address
First Line : 100 N KROHN PL
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57103-1815
Country : US
Telephone Number : 605-212-4357
Fax Number :
Authorized Official
Title or Position : OWNER/PROVIDER
Name : DAVID SUNDEM
Credential : MS, LPC, PLC-MH,QMHP
Telephone Number : 605-212-4357
Provider Enumeration Date : 05/20/2021
Last Update Date : 05/20/2021

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Directions to “SIOUX FALLS MENTAL HEALTH SERVICES ” Practice Location

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