| Golden Heart Family Therapy, Llc | |
|
626 2nd St. Ste 303 Fairbanks AK 99701 | |
| (907) 750-3010 | |
| (907) 600-5066 |
| Full Name | Golden Heart Family Therapy, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 626 2nd St., Fairbanks, Alaska |
| Authorized Official Name and Position | Kevan Wesley Walker (OWNER/ MARRIAGE & FAMILY THERAPIST) |
| Authorized Official Contact | 9077503010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Heart Family Therapy, Llc Po Box 60474 Fairbanks AK 99706-9998 Ph: (907) 750-3010 | Golden Heart Family Therapy, Llc 626 2nd St. Ste 303 Fairbanks AK 99701 Ph: (907) 750-3010 |
| NPI Number | 1679279723 |
|---|---|
| Provider Enumeration Date | 01/31/2023 |
| Last Update Date | 01/31/2023 |
| Certification Date | 01/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679279723 | NPI | - | NPPES |
| 1558691105 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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