Provider Demographics
NPI:1588126882
Name:ESPINOZA, SYLVIA (LPC)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:ESPINOZA
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1214 E 10TH ST
Mailing Address - Street 2:
Mailing Address - City:PLANKINTON
Mailing Address - State:SD
Mailing Address - Zip Code:57368-2045
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1130 S BURR ST STE 200
Practice Address - Street 2:
Practice Address - City:MITCHELL
Practice Address - State:SD
Practice Address - Zip Code:57301-4586
Practice Address - Country:US
Practice Address - Phone:605-942-5437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-04
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC20365101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty