Provider Demographics
NPI:1285797035
Name:PELTIER-ANDERSON, SKIE C (LPCC, LMHP, LPC-MH)
Entity type:Individual
Prefix:
First Name:SKIE
Middle Name:C
Last Name:PELTIER-ANDERSON
Suffix:
Gender:F
Credentials:LPCC, LMHP, LPC-MH
Other - Prefix:
Other - First Name:SKIE
Other - Middle Name:C
Other - Last Name:PELTIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:215 W LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:LUVERNE
Mailing Address - State:MN
Mailing Address - Zip Code:56156-1468
Mailing Address - Country:US
Mailing Address - Phone:402-926-8858
Mailing Address - Fax:
Practice Address - Street 1:215 N CEDAR ST STE B
Practice Address - Street 2:
Practice Address - City:LUVERNE
Practice Address - State:MN
Practice Address - Zip Code:56156-1626
Practice Address - Country:US
Practice Address - Phone:507-920-9170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
MN1908101YP2500X
NEP-460101YA0400X
NE1630101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47079687531Medicaid