Therapy Distinct Llc | |
4786 N Sandra J Cir Palmer AK 99645-7912 | |
(907) 231-6151 | |
Not Available |
Full Name | Therapy Distinct Llc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 4786 N Sandra J Cir, Palmer, Alaska |
Authorized Official Name and Position | Chelsa Dorman (SOLE MEMBER) |
Authorized Official Contact | 9072316151 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Therapy Distinct Llc 4786 N Sandra J Cir Palmer AK 99645-7912 Ph: (907) 231-6151 | Therapy Distinct Llc 4786 N Sandra J Cir Palmer AK 99645-7912 Ph: (907) 231-6151 |
NPI Number | 1700470663 |
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Provider Enumeration Date | 02/22/2021 |
Last Update Date | 02/22/2021 |
Certification Date | 02/22/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700470663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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