| 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 |
|---|---|
| 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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