Provider Demographics
NPI:1407622574
Name:ERIN STOLSMARK, INC
Entity Type:Organization
Organization Name:ERIN STOLSMARK, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC-MH
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-MH
Authorized Official - Phone:605-359-0303
Mailing Address - Street 1:4948 E 57TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-8705
Mailing Address - Country:US
Mailing Address - Phone:605-359-0303
Mailing Address - Fax:605-306-3052
Practice Address - Street 1:4948 E 57TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-8705
Practice Address - Country:US
Practice Address - Phone:605-359-0303
Practice Address - Fax:605-306-3052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)