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THE SALVATION ARMY BOOTH MEMORIAL OUTPATIENT NPI 1023232808


NPI Information

NPI: 1023232808
Provider Name: THE SALVATION ARMY BOOTH MEMORIAL OUTPATIENT
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
3600 E 20TH AVE
ANCHORAGE, AK
ZIP 99508
Phone: (907) 279-0522
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THE SALVATION ARMY BOOTH MEMORIAL OUTPATIENT is a counselor in Anchorage, AK. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. THE SALVATION ARMY BOOTH MEMORIAL OUTPATIENT NPI is 1023232808. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3600 E 20TH AVE
ANCHORAGE, AK
ZIP 99508-416
Phone: (907) 279-0522

The provider's authorized official is Adelene M Kelly .
The authorized official title is Divisional Finance Director and has the following contact phone number (907) 339-3406.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor11806ALASKAYes
2104100000XSocial Worker11806ALASKAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DA4468MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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