EVELYN IRIS WILDER LPC-MH QMHP LAC NPI 1417294133

NPI Information

NPI: 1417294133
Provider Name: EVELYN IRIS WILDER, LPC-MH, QMHP, LAC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
529 KANSAS CITY ST
RAPID CITY, SD
ZIP 57701
Phone: (605) 348-6086
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Evelyn Iris Wilder, LPC-MH, QMHP, LAC is a mental health counselor in Rapid City, SD. Evelyn Iris Wilder, LPC-MH, QMHP, LAC NPI is 1417294133. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

529 KANSAS CITY ST
RAPID CITY, SD
ZIP 57701-693
Phone: (605) 348-6086
Fax: (605) 348-1050

The enumeration date for this NPI number is 1/15/2013 and was last updated on 3/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	12091537	SOUTH DAKOTA	No
2	101YM0800X	Counselor	Mental Health	LPC-MH2289	SOUTH DAKOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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