Organization · NPI-2

Healing Rock Counseling Services LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Eagle River, AK

NPI number1104654722
StatusActive
Last updated in NPPESJul 24, 2024

Details

NPI
1104654722
Entity type
Organization (NPI-2)
Legal business name
Healing Rock Counseling Services LLC
Organization subpart
No
Enumeration date
Jul 24, 2024
Certification date
Jul 24, 2024
Last updated
Jul 24, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

11517 Old Glenn Hwy Ste 204
Eagle River, AK 99577-7312

Phone 907-354-0439 · Fax 907-689-7625

Mailing address

23450 Glacier View Dr
Eagle River, AK 99577-9617

Phone 907-354-0439 · Fax 907-689-7625

Authorized official

Cathy Jean King
Organization Official
9073540439

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