| Empowerment Mental Health Llc | |
|
4141 B St Ste 207 Anchorage AK 99503-5940 | |
| (907) 231-2333 | |
| Not Available |
| Full Name | Empowerment Mental Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4141 B St Ste 207, Anchorage, Alaska |
| Authorized Official Name and Position | Susan A Bryan (OWNER) |
| Authorized Official Contact | 9077207103 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowerment Mental Health Llc 2440 E Tudor Rd # 1099 Anchorage AK 99507-1185 Ph: (907) 231-2333 | Empowerment Mental Health Llc 4141 B St Ste 207 Anchorage AK 99503-5940 Ph: (907) 231-2333 |
| NPI Number | 1639866908 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 04/18/2023 |
| Certification Date | 04/18/2023 |
| Medicare PECOS PAC ID | 6103284385 |
|---|---|
| Medicare Enrollment ID | O20230620002814 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639866908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Susan A Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568650950 PECOS PAC ID: 7618057407 Enrollment ID: I20100622000475 |
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