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WISDOM TRADITIONS COUNSELING SERVICES LLC NPI 1467775676


NPI Profile

NPI: 1467775676
Provider Name: WISDOM TRADITIONS COUNSELING SERVICES, LLC

Other Name: WISDOM TRADITIONS COUNSELING SERVICES, LLC

Classification:Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 02D2101938

Address:
401 W INTERNATIONAL AIRPORT RD STE 17
ANCHORAGE, AK
ZIP 99518
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Phone: (907) 770-3656

WISDOM TRADITIONS COUNSELING SERVICES, LLC is a community behavioral health in Anchorage, AK. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. WISDOM TRADITIONS COUNSELING SERVICES, LLC NPI is 1467775676. The provider is registered as an organization entity type.
The provider Other Name Is Wisdom Traditions Counseling Services, Llc.

The provider's business location address is:

401 W INTERNATIONAL AIRPORT RD STE 17
ANCHORAGE, AK
ZIP 99518
Phone: (907) 770-3656
Fax: (907) 562-4503

The provider's authorized official is Kimberly A. Hamilton .
The authorized official title is Practice Manager and has the following contact phone number (941) 697-3100.

The CLIA number assigned to this NPI record is 02D2101938 - comprehensive outpatient rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/3/2010 and was last updated on 8/26/2019.


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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261QM0850XClinic/CenterAdult Mental HealthNo
4261QM1300XClinic/CenterMulti-SpecialtyNo
5251S00000XCommunity/Behavioral HealthYes

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: 3/9/2021

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