PSYCHODYNAMIC THERAPY NPI 1508504192

NPI Information

NPI: 1508504192
Provider Name: PSYCHODYNAMIC THERAPY
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3610 S WESTERN AVE STE 2
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 254-4789
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PSYCHODYNAMIC THERAPY is a professional counselor in Sioux Falls, SD. PSYCHODYNAMIC THERAPY NPI is 1508504192. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3610 S WESTERN AVE STE 2
SIOUX FALLS, SD
ZIP 57105-143
Phone: (605) 254-4789

The provider's authorized official is Irina Goubanova .
The authorized official title is Lpc and has the following contact phone number (605) 254-4789.

The enumeration date for this NPI number is 5/24/2022 and was last updated on 5/24/2022.

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	101YP2500X	Counselor	Professional			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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