| Sound Mental Health Llc | |
|
154 Fairbanks Dr Valdez AK 99686 | |
| (907) 835-9355 | |
| Not Available |
| Full Name | Sound Mental Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 154 Fairbanks Dr, Valdez, Alaska |
| Authorized Official Name and Position | Matthew J Wadsworth (CEO) |
| Authorized Official Contact | 9078359355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sound Mental Health Llc Po Box 3006 Valdez AK 99686-3006 Ph: (907) 835-9355 | Sound Mental Health Llc 154 Fairbanks Dr Valdez AK 99686 Ph: (907) 835-9355 |
| NPI Number | 1659118685 |
|---|---|
| Provider Enumeration Date | 07/09/2024 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/19/2024 |
| Medicare PECOS PAC ID | 0143752824 |
|---|---|
| Medicare Enrollment ID | O20241018003037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659118685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Matthew J Wadsworth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972759017 PECOS PAC ID: 4981733516 Enrollment ID: I20161219000337 |
| Provider Name | Tahnee R King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740063064 PECOS PAC ID: 4183087372 Enrollment ID: I20230906001969 |
| Provider Name | Kyra A Meyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831973783 PECOS PAC ID: 8224481304 Enrollment ID: I20240124004158 |