| Restoration Family Therapy, L.l.c. | |
|
23554 Blue Skies Dr Chugiak AK 99567-5640 | |
| (907) 726-3572 | |
| Not Available |
| Full Name | Restoration Family Therapy, L.l.c. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 23554 Blue Skies Dr, Chugiak, Alaska |
| Authorized Official Name and Position | Jocelyn Gavin Doremus (OWNER) |
| Authorized Official Contact | 9077263572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Family Therapy, L.l.c. Po Box 670813 Chugiak AK 99567-0813 Ph: (907) 726-3572 | Restoration Family Therapy, L.l.c. 23554 Blue Skies Dr Chugiak AK 99567-5640 Ph: (907) 726-3572 |
| NPI Number | 1245852375 |
|---|---|
| Provider Enumeration Date | 05/12/2020 |
| Last Update Date | 05/17/2020 |
| Certification Date | 05/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245852375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Southcentral Foundation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 26341 Eklutna Village Rd, Chugiak, AK 99567 Phone: 907-688-6031 Fax: 907-688-6021 | |
Eklutna Village Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 26339 Eklutna Village Rd, Chugiak, AK 99567 Phone: 907-688-6031 Fax: 907-688-6032 | |
Bear Mountain Clinical Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24813 Fassler Cir, Chugiak, AK 99567 Phone: 907-691-4528 |