Provider Demographics
NPI:1821026998
Name:LIFE STRATEGIES PSYCHOLOGICAL HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:LIFE STRATEGIES PSYCHOLOGICAL HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ERICKA
Authorized Official - Middle Name:
Authorized Official - Last Name:KEMPER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:605-360-6264
Mailing Address - Street 1:1601 E 69TH ST STE 305
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-8322
Mailing Address - Country:US
Mailing Address - Phone:605-368-4323
Mailing Address - Fax:
Practice Address - Street 1:1601 E 69TH ST STE 305
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108
Practice Address - Country:US
Practice Address - Phone:605-368-4323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD444103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD6552023Medicaid
SD4993937OtherBLUECROSS BLUESHIELD
SD9237669OtherDAKOTACARE
SD33858OtherSANFORD HEALTH PLAN
SD9237669OtherDAKOTACARE