Organization · NPI-2
Alaska Integrative Psychiatry LLC
Nurse Practitioner, Psych/Mental Health · Anchorage, AK
NPI number1124710058
StatusActive
Last updated in NPPESFeb 6, 2024
Details
- NPI
- 1124710058
- Entity type
- Organization (NPI-2)
- Legal business name
- Alaska Integrative Psychiatry LLC
- Organization subpart
- No
- Enumeration date
- May 22, 2023
- Certification date
- Feb 6, 2024
- Last updated
- Feb 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 104100000X | Social Worker | – | – |
Practice location
4141 B St Ste 305Anchorage, AK 99503-5941
Phone 907-921-1331 · Fax 907-802-6630
Mailing address
4141 B St Ste 305Anchorage, AK 99503-5941
Phone 907-921-1331 · Fax 907-802-6630
Authorized official
Andrea Siegfried
Ceo
9079211331
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