| Solomon Porch Llc | |
|
626 2nd St Ste 101 Fairbanks AK 99701-3466 | |
| (907) 350-4353 | |
| Not Available |
| Full Name | Solomon Porch Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 626 2nd St Ste 101, Fairbanks, Alaska |
| Authorized Official Name and Position | Lisa Root (SOLE MEMBER) |
| Authorized Official Contact | 9073504353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Solomon Porch Llc 626 2nd St Ste 101 Fairbanks AK 99701-3466 Ph: (907) 350-4353 | Solomon Porch Llc 626 2nd St Ste 101 Fairbanks AK 99701-3466 Ph: (907) 350-4353 |
| NPI Number | 1467838847 |
|---|---|
| Provider Enumeration Date | 08/07/2015 |
| Last Update Date | 08/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467838847 | NPI | - | NPPES |
| 10031301 | Other | AK | ALASKA ENTITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 101191 (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 |