| Tashia Amstislavski, Ma, Lcsw, Llc | |
|
4141 B Street Suite 301 Anchorage AK 99503 | |
| (907) 331-3163 | |
| (844) 331-5990 |
| Full Name | Tashia Amstislavski, Ma, Lcsw, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4141 B Street, Anchorage, Alaska |
| Authorized Official Name and Position | Tashia Amstislavski (OWNER) |
| Authorized Official Contact | 9073313163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tashia Amstislavski, Ma, Lcsw, Llc Po Box 141421 Anchorage AK 99514 Ph: (927) 331-3163 | Tashia Amstislavski, Ma, Lcsw, Llc 4141 B Street Suite 301 Anchorage AK 99503 Ph: (907) 331-3163 |
| NPI Number | 1316497340 |
|---|---|
| Provider Enumeration Date | 10/14/2016 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 6608140827 |
|---|---|
| Medicare Enrollment ID | O20170926003208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316497340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1043095 (Alaska) | Primary |
| Provider Name | Tashia Amstislavski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841546207 PECOS PAC ID: 7810261005 Enrollment ID: I20170927002198 |
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