| Sitka Counseling & Prevention Services, Inc. | |
|
113 Metlakatla St Sitka AK 99835 | |
| (907) 747-3636 | |
| (907) 747-2702 |
| Full Name | Sitka Counseling & Prevention Services, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 113 Metlakatla St, Sitka, Alaska |
| Authorized Official Name and Position | Amy Zanuzoski (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9077473636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sitka Counseling & Prevention Services, Inc. 113 Metlakatla St Sitka AK 99835 Ph: (907) 747-3636 | Sitka Counseling & Prevention Services, Inc. 113 Metlakatla St Sitka AK 99835 Ph: (907) 747-3636 |
| NPI Number | 1285764001 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 04/24/2018 |
| Medicare PECOS PAC ID | 9830185925 |
|---|---|
| Medicare Enrollment ID | O20040423000292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285764001 | NPI | - | NPPES |
| DA4752 | Medicaid | AK | |
| MH4752 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 298434 (Alaska) | Primary |
| 251B00000X | Case Management | 298434 (Alaska) | Secondary |
| 251S00000X | Community/behavioral Health | 298434 (Alaska) | Secondary |
| Provider Name | Douglas C Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972561447 PECOS PAC ID: 5193639011 Enrollment ID: I20060621000345 |
| Provider Name | Maybelle Filler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073917761 PECOS PAC ID: 2365791217 Enrollment ID: I20180827000062 |
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Sitka Counseling & Prevention Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Metlakatla St, Sitka, AK 99835 Phone: 907-747-3636 Fax: 907-747-2702 |