Provider Demographics
NPI:1497004600
Name:SEEFELDT, ZACHARY
Entity Type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:
Last Name:SEEFELDT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 S LOUISE AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57106-3144
Mailing Address - Country:US
Mailing Address - Phone:605-334-7713
Mailing Address - Fax:
Practice Address - Street 1:4300 S LOUISE AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106-3144
Practice Address - Country:US
Practice Address - Phone:605-334-7713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-04
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD6575260Medicaid