Provider Demographics
NPI:1770980195
Name:SIOUX FALLS WELLNESS COUNSELING, INC.
Entity type:Organization
Organization Name:SIOUX FALLS WELLNESS COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:HANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-MH, LAC
Authorized Official - Phone:605-610-9228
Mailing Address - Street 1:5201 S WESTERN AVE
Mailing Address - Street 2:#104
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-5040
Mailing Address - Country:US
Mailing Address - Phone:605-610-9228
Mailing Address - Fax:605-496-9989
Practice Address - Street 1:5201 S WESTERN AVE
Practice Address - Street 2:#104
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-5040
Practice Address - Country:US
Practice Address - Phone:605-610-9228
Practice Address - Fax:605-496-9989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-01
Last Update Date:2017-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health