Individual
MRS. TERESA M HENRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC MH
Contact information
Practice address
523 N DULUTH AVE, SIOUX FALLS, SD 57104-2714
(605) 988-3775
(605) 988-3875
Mailing address
904 W 23RD ST STE 101, HEARTLAND PSYCHOLOGICAL SERVICES, YANKTON, SD 57078
(605) 665-0841
(605) 665-0096
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9607791
SD
101YM0800X
Mental Health Counselor
Primary
LPCMH2127
—
101YP2500X
Professional Counselor
LPC-MH2127
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20630
SIOUX VALLEY HEALTH PLAN
—
01
—
235666
COMPSYCH
—
01
—
246780
MIDLANDS CHOICE
—
01
—
4994223
BLUE CROSS
—
05
—
6576050
—
SD
01
—
9235337
DAKOTA CARE
—
Enumeration date
12/14/2006
Last updated
03/20/2024
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