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JETT MORGAN TREATMENT SERVICES LLC NPI 1578109120


NPI Profile

NPI: 1578109120
Provider Name: JETT MORGAN TREATMENT SERVICES, LLC
Classification:Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 02D2155348

Address:
400 W TUDOR RD STE A400
ANCHORAGE, AK
ZIP 99503
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Phone: (907) 677-7709

JETT MORGAN TREATMENT 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. JETT MORGAN TREATMENT SERVICES, LLC NPI is 1578109120. The provider is registered as an organization entity type.

The provider's business location address is:

400 W TUDOR RD STE A400
ANCHORAGE, AK
ZIP 99503-652
Phone: (907) 677-7709
Fax: (907) 677-7095

The provider's authorized official is Michelle Lynn Jett .
The authorized official title is Director Of Operations, Owner and has the following contact phone number (907) 677-7709.

The CLIA number assigned to this NPI record is 02D2155348 - comprehensive outpatient rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/19/2019 and was last updated on 11/19/2019.


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
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
11698507MEDICAIDALASKA

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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