Advanced Telepsychiatry Of Alaska Llc | |
11470 Business Blvd Eagle River AK 99577-7780 | |
(907) 406-6690 | |
Not Available |
Full Name | Advanced Telepsychiatry Of Alaska Llc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 11470 Business Blvd, Eagle River, Alaska |
Authorized Official Name and Position | Amber Virden (APRN) |
Authorized Official Contact | 9074066690 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Advanced Telepsychiatry Of Alaska Llc Po Box 770824 Eagle River AK 99577-0824 Ph: (907) 406-6690 | Advanced Telepsychiatry Of Alaska Llc 11470 Business Blvd Eagle River AK 99577-7780 Ph: (907) 406-6690 |
NPI Number | 1609467364 |
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Provider Enumeration Date | 01/26/2021 |
Last Update Date | 01/26/2021 |
Certification Date | 01/26/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609467364 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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