| Looking Forward Psychiatry And Counseling Llc | |
|
290 N Willow St Wasilla AK 99654-7042 | |
| (907) 203-1590 | |
| Not Available |
| Full Name | Looking Forward Psychiatry And Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 290 N Willow St, Wasilla, Alaska |
| Authorized Official Name and Position | Lisa Marie Mrzena (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 9072031590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Looking Forward Psychiatry And Counseling Llc Po Box 876023 Wasilla AK 99687-6023 Ph: (907) 203-1590 | Looking Forward Psychiatry And Counseling Llc 290 N Willow St Wasilla AK 99654-7042 Ph: (907) 203-1590 |
| NPI Number | 1508481144 |
|---|---|
| Provider Enumeration Date | 06/09/2020 |
| Last Update Date | 10/17/2024 |
| Certification Date | 10/17/2024 |
| Medicare PECOS PAC ID | 3375945744 |
|---|---|
| Medicare Enrollment ID | O20210707002780 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508481144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lisa Marie Mrzena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053645770 PECOS PAC ID: 6901029560 Enrollment ID: I20190904001161 |
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