HEADWATERS WELLNESS AND COUNSELING LLC NPI 1962945709

NPI Information

NPI: 1962945709
Provider Name: HEADWATERS WELLNESS AND COUNSELING LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
250 CUSHMAN ST
SUITE 4J
FAIRBANKS, AK
ZIP 99701
Phone: (907) 456-2256
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HEADWATERS WELLNESS AND COUNSELING LLC is a professional counselor in Fairbanks, AK. HEADWATERS WELLNESS AND COUNSELING LLC NPI is 1962945709. The provider is registered as an organization entity type.

The provider's business location address is:

250 CUSHMAN ST
SUITE 4J
FAIRBANKS, AK
ZIP 99701-665
Phone: (907) 456-2256
Fax: (907) 456-2260

The provider's authorized official is Liz Pawelko .
The authorized official title is Owner and has the following contact phone number (907) 456-2256.

The enumeration date for this NPI number is 11/28/2016 and was last updated on 12/11/2017.

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
1	261QM0850X	Clinic/Center	Adult Mental Health			No
2	101YP2500X	Counselor	Professional	PCOC613	ALASKA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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