| Making A Difference Support Services | |
|
1867 Airport Way Suite 200 Fairbanks AK 99701-4054 | |
| (907) 750-7169 | |
| (907) 490-4469 |
| Full Name | Making A Difference Support Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1867 Airport Way, Fairbanks, Alaska |
| Authorized Official Name and Position | Crystal Mccormick (OWNER) |
| Authorized Official Contact | 9077507169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Making A Difference Support Services 1302 Benshoof Dr North Pole AK 99705-5666 Ph: (907) 590-2100 | Making A Difference Support Services 1867 Airport Way Suite 200 Fairbanks AK 99701-4054 Ph: (907) 750-7169 |
| NPI Number | 1558715391 |
|---|---|
| Provider Enumeration Date | 04/18/2016 |
| Last Update Date | 04/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558715391 | NPI | - | NPPES |
| 1634221 | Medicaid | AK | |
| K164905 | Other | AK | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1053 (Alaska) | Primary |
Fbx Fairbanks Behavior Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3245 Craft Ave, Fairbanks, AK 99709 Phone: 907-378-3434 Fax: 907-374-0820 | |
Pacific Rim Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Barnette St Ste 102, Fairbanks, AK 99701 Phone: 907-452-5252 Fax: 907-452-6233 | |
Fairbanks Community Behavioral Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3830 S Cushman St, Fairbanks, AK 99701 Phone: 907-452-1575 Fax: 907-455-5287 | |
Making A Difference Support Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1867 Airport Way Ste 200, Fairbanks, AK 99701 Phone: 907-750-7169 Fax: 907-490-4469 | |
Fcmhs Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3830 S Cushman St, Fairbanks, AK 99701 Phone: 907-452-1575 Fax: 907-455-5287 | |
Rachel A Kacsur Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 2nd Ave, Suite 207b, Fairbanks, AK 99701 Phone: 907-455-0250 Fax: 907-455-0250 | |
Beringia Mental Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 Wendell St, Ste B, Fairbanks, AK 99701 Phone: 907-455-4140 Fax: 907-455-4119 |