NPI 1508616236 · live from the CMS NPI Registry
Alaskan Amazing Grace Alh LLC
Counselor, Mental Health in Anchorage, AK. National Provider Identifier 1508616236, active.
NPI record
| NPI | 1508616236 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 4939 Folker St Unit A, Anchorage, AK 99507 |
| Practice phone | 907-440-3000 |
| Enumerated | March 25, 2024 |
| Last updated | March 25, 2024 |
| Authorized official | Jerry Fonseca, Owner/Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health primary | 101YM0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.