Provider Demographics
NPI:1427551522
Name:BREUER, NICHOLAS THOMAS (MA, LPC-MH)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:THOMAS
Last Name:BREUER
Suffix:
Gender:M
Credentials:MA, LPC-MH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 S GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-4313
Mailing Address - Country:US
Mailing Address - Phone:605-800-3860
Mailing Address - Fax:605-800-3852
Practice Address - Street 1:225 E 11TH ST STE 215
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57104-6334
Practice Address - Country:US
Practice Address - Phone:605-800-3860
Practice Address - Fax:605-800-3852
Is Sole Proprietor?:No
Enumeration Date:2018-03-14
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional