Provider Demographics
NPI:1760806053
Name:LEAFSTEDT, AMBER (LPC-MH, LAC)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:LEAFSTEDT
Suffix:
Gender:F
Credentials:LPC-MH, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E 8TH ST STE 214-9009
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57103-7011
Mailing Address - Country:US
Mailing Address - Phone:605-443-9586
Mailing Address - Fax:605-443-9587
Practice Address - Street 1:401 E 8TH ST STE 214-9009
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57103-7011
Practice Address - Country:US
Practice Address - Phone:605-443-9586
Practice Address - Fax:605-443-9587
Is Sole Proprietor?:No
Enumeration Date:2014-02-07
Last Update Date:2025-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
SDLPC-MH30804101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)