Provider Demographics
NPI:1285821215
Name:RICHARD K SEAMAN
Entity Type:Organization
Organization Name:RICHARD K SEAMAN
Other - Org Name:MENTAL HEALTH ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:SEAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:605-339-6949
Mailing Address - Street 1:2900 E 26TH ST
Mailing Address - Street 2:SUITE 306
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57103-4058
Mailing Address - Country:US
Mailing Address - Phone:605-339-6949
Mailing Address - Fax:605-330-0338
Practice Address - Street 1:2900 E 26TH ST
Practice Address - Street 2:SUITE 306
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57103-4058
Practice Address - Country:US
Practice Address - Phone:605-339-6949
Practice Address - Fax:605-330-0338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD376101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD40161Medicare UPIN