| Cloudberry Care Clinic Llc | |
|
8136 White Dr Anchorage AK 99507-6046 | |
| (907) 980-5981 | |
| Not Available |
| Full Name | Cloudberry Care Clinic Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8136 White Dr, Anchorage, Alaska |
| Authorized Official Name and Position | Sara Lindsoe (DR. SARA LINDSOE/OWNER) |
| Authorized Official Contact | 9079805981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cloudberry Care Clinic Llc Po Box 231829 Anchorage AK 99523-1829 Ph: (907) 980-5981 | Cloudberry Care Clinic Llc 8136 White Dr Anchorage AK 99507-6046 Ph: (907) 980-5981 |
| NPI Number | 1407442650 |
|---|---|
| Provider Enumeration Date | 12/11/2020 |
| Last Update Date | 12/11/2020 |
| Certification Date | 12/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407442650 | NPI | - | NPPES |
| 1691022 | Medicaid | AK | |
| 136171 | Other | AK | ALASKA APRN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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