Individual
MS. PATRICIA CRANNY LAVELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5024 S BUR OAK PL STE 212, SIOUX FALLS, SD 57108-2238
(605) 275-2001
(605) 275-2019
Mailing address
1500 S SYCAMORE AVE STE 102, SIOUX FALLS, SD 57110-3711
(605) 212-3276
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LMFT1063
SD
101YM0800X
Mental Health Counselor
Primary
LPCMH 2066
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4998513
BLUE CROSS BLUE SHIELD
—
05
—
6575452
—
SD
Enumeration date
12/14/2005
Last updated
03/06/2025
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