Provider Type Icon

WISDOM TRADITIONS COUNSELING SERVICES LLC NPI 1881879922


NPI Profile

NPI: 1881879922
Provider Name: WISDOM TRADITIONS COUNSELING SERVICES, LLC

Doing Business As: ALASKA WISDOM RECOVERY

Classification:Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
401 W INTERNATIONAL RD STE 27
ANCHORAGE, AK
ZIP 99518
Get Directions

Phone: (907) 562-4540

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 1881879922. The provider is registered as an organization entity type.
The provider Is Doing Business As Alaska Wisdom Recovery.

The provider's business location address is:

401 W INTERNATIONAL RD STE 27
ANCHORAGE, AK
ZIP 99518-168
Phone: (907) 562-4540
Fax: (907) 562-4502

The provider's authorized official is Michael W. Demolina .
The authorized official title is Owner and has the following contact phone number (907) 562-4540.

The enumeration date for this NPI number is 1/8/2008 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
1261QM2500XClinic/CenterMedical SpecialtyNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
3251S00000XCommunity/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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.