Provider Demographics
NPI:1538874409
Name:CULVER, RICHARD (LPC-MH)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:CULVER
Suffix:
Gender:M
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 1:5000 S BROADBAND LN STE 119
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-2261
Mailing Address - Country:US
Mailing Address - Phone:605-777-0075
Mailing Address - Fax:888-977-2561
Practice Address - Street 1:5000 S BROADBAND LN STE 119
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-2261
Practice Address - Country:US
Practice Address - Phone:605-777-0075
Practice Address - Fax:888-977-2561
Is Sole Proprietor?:No
Enumeration Date:2023-01-16
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPCMH30810101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health