| Healing Rock Counseling Services Llc | |
|
11517 Old Glenn Hwy Ste 204 Eagle River AK 99577-7312 | |
| (907) 354-0439 | |
| (907) 689-7625 |
| Full Name | Healing Rock Counseling Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11517 Old Glenn Hwy Ste 204, Eagle River, Alaska |
| Authorized Official Name and Position | Cathy Jean King (ORGANIZATION OFFICIAL) |
| Authorized Official Contact | 9073540439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Rock Counseling Services Llc 23450 Glacier View Dr Eagle River AK 99577-9617 Ph: (907) 354-0439 | Healing Rock Counseling Services Llc 11517 Old Glenn Hwy Ste 204 Eagle River AK 99577-7312 Ph: (907) 354-0439 |
| NPI Number | 1104654722 |
|---|---|
| Provider Enumeration Date | 07/24/2024 |
| Last Update Date | 07/24/2024 |
| Certification Date | 07/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104654722 | NPI | - | NPPES |
| 1871780452 | Medicaid | AK | |
| 1275165763 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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