| Thriving Within Llc | |
|
3718 Sycamore Loop Anchorage AK 99504-4773 | |
| (907) 268-4234 | |
| (877) 907-0952 |
| Full Name | Thriving Within Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3718 Sycamore Loop, Anchorage, Alaska |
| Authorized Official Name and Position | Eli Michael (OWNER) |
| Authorized Official Contact | 9072684234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thriving Within Llc 3300 Arctic Blvd Ste 201 Anchorage AK 99503-4579 Ph: (907) 268-4234 | Thriving Within Llc 3718 Sycamore Loop Anchorage AK 99504-4773 Ph: (907) 268-4234 |
| NPI Number | 1174231518 |
|---|---|
| Provider Enumeration Date | 11/14/2022 |
| Last Update Date | 11/13/2023 |
| Certification Date | 11/13/2023 |
| Medicare PECOS PAC ID | 6406217058 |
|---|---|
| Medicare Enrollment ID | O20230731001524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174231518 | NPI | - | NPPES |
| 1737553 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Eli T Michael |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073009379 PECOS PAC ID: 6901296250 Enrollment ID: I20211201001469 |
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