Nelson, Connie Lee

Nelson, Connie Lee is an sole proprietor health care provider with primary practice located at 2210 S Brown Place , Sioux Falls SD 57105. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Nelson, Connie Lee can be contacted via phone (605) 332-1700.

Contact Information

Primary practice address
2210 S Brown Place Sioux Falls SD 57105
Phone: (605) 332-1700
Fax: (605) 336-9031
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 45265
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 9605696 South Dakota
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ICADC2245
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPCMH2116 South Dakota

Profile Details

NPI number 1629061221
LBN Legal business name Nelson, Connie Lee
Credentials MA QMHP LPCMH CCDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2005
Last updated Mar 22nd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629061221 NPPES
South Dakota MEDICAID 6576132

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