GOOD SIDE OUT LLC NPI 1720318736

NPI Information

  • NPI: 1720318736
  • Provider Name: GOOD SIDE OUT, LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • :
  • Address: 405 E. FIREWEED LANE, ANCORAGE AK 99503
    ANCHORAGE, AK
    ZIP 99503
  • Phone: (907) 317-1859

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NPI Details

GOOD SIDE OUT, LLC is a professional counselor in Anchorage, AK. GOOD SIDE OUT, LLC NPI is 1720318736. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

405 E. FIREWEED LANE, ANCORAGE AK 99503
ANCHORAGE, AK
ZIP 99503
Phone: (907) 317-1859
Fax: (907) 802-6121

The provider's authorized official is Deborah E. Stamm .
The authorized official title is Practice Owner and has the following contact phone number (907) 317-1859.

The enumeration date for this NPI number is 1/14/2010 and was last updated on 4/29/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalYes

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: 11/21/2025

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