Organization · NPI-2

Alaska Marriage & Family Therapy Associates LLC

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

NPI number1932811668

StatusActive

Last updated in NPPESDec 6, 2024

Details

NPI: 1932811668
Entity type: Organization (NPI-2)
Legal business name: Alaska Marriage & Family Therapy Associates LLC
Organization subpart: No
Enumeration date: Dec 13, 2022
Certification date: Dec 6, 2024
Last updated: Dec 6, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–	Yes
103T00000X	Psychologist	–	–
261QM0850X	Clinic/Center, Adult Mental Health	–	–
261QM0855X	Clinic/Center, Adolescent and Children Mental Health	–	–
363LP0808X	Nurse Practitioner, Psych/Mental Health	–	–

Practice location

1205 E International Airport Rd Ste 100
Anchorage, AK 99518-1409

Phone 907-570-6382 · Fax 888-972-3679

Mailing address

1205 E International Airport Rd Ste 100
Anchorage, AK 99518-1409

Phone 907-570-6382 · Fax 888-972-3679

Authorized official

Mark Hamilton
Office Manager
9077829123

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