Provider Demographics
NPI:1417680125
Name:GOOD KARMA WELLNESS, LLC
Entity Type:Organization
Organization Name:GOOD KARMA WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TRISHA
Authorized Official - Middle Name:KARSTEN
Authorized Official - Last Name:GAUDIG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:605-215-1108
Mailing Address - Street 1:4800 S LOUISE AVE
Mailing Address - Street 2:PMB 328
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57106-2217
Mailing Address - Country:US
Mailing Address - Phone:605-215-1108
Mailing Address - Fax:
Practice Address - Street 1:910 CATHY DR
Practice Address - Street 2:
Practice Address - City:TEA
Practice Address - State:SD
Practice Address - Zip Code:57064-2199
Practice Address - Country:US
Practice Address - Phone:507-213-6171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-08
Last Update Date:2023-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Multi-Specialty