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WISDOM TRADITIONS COUNSELING SERVICES LLC NPI 1518582063


NPI Profile

NPI: 1518582063
Provider Name: WISDOM TRADITIONS COUNSELING SERVICES, LLC
Classification:Community/Behavioral Health - 251S00000X
Entity Type: Organization
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 1518582063. The provider is registered as an organization entity type.

The provider's business location address is:

401 W INTERNATIONAL AIRPORT RD STE 17
ANCHORAGE, AK
ZIP 99518-168
Phone: (907) 770-3656
Fax: (907) 562-4503

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

The enumeration date for this NPI number is 6/10/2020 and was last updated on 6/10/2020.


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
1251S00000XCommunity/Behavioral HealthYes

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
11695691MEDICAIDALASKA

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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