| Beringia Mental Health Llc | |
|
225 Wendell St Ste B Fairbanks AK 99701-4835 | |
| (907) 455-4140 | |
| (907) 455-4119 |
| Full Name | Beringia Mental Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 225 Wendell St, Fairbanks, Alaska |
| Authorized Official Name and Position | Booker T Evans (OWNER) |
| Authorized Official Contact | 9074554140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beringia Mental Health Llc Po Box 90349 Anchorage AK 99509-0349 Ph: (907) 455-4140 | Beringia Mental Health Llc 225 Wendell St Ste B Fairbanks AK 99701-4835 Ph: (907) 455-4140 |
| NPI Number | 1033308002 |
|---|---|
| Provider Enumeration Date | 10/16/2007 |
| Last Update Date | 10/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033308002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4433 (Alaska) | Primary |
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