Provider Demographics
NPI:1881733863
Name:DILENSCHNEIDER, ANNE M (LPC-MH)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:M
Last Name:DILENSCHNEIDER
Suffix:
Gender:F
Credentials:LPC-MH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5013 S LOUISE AVE # 322
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-2268
Mailing Address - Country:US
Mailing Address - Phone:605-271-2676
Mailing Address - Fax:605-653-2371
Practice Address - Street 1:721 S EUCLID AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57104-4623
Practice Address - Country:US
Practice Address - Phone:605-271-2676
Practice Address - Fax:605-653-2371
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2024-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLPCC02829101YM0800X
IALMHC107633101YM0800X
MALMHC10000871101YM0800X
NELIMHP3456101YM0800X
SDLPC-MH2296101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD6578282Medicaid
IA0223973Medicaid
IA0510108Medicaid