Healthcare Provider Details

I. General information

NPI: 1205762754
Provider Name (Legal Business Name): AC COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4325 LAUREL ST STE 290
ANCHORAGE AK
99508-5383
US

IV. Provider business mailing address

4325 LAUREL ST STE 290
ANCHORAGE AK
99508-5383
US

V. Phone/Fax

Practice location:
  • Phone: 907-575-1585
  • Fax:
Mailing address:
  • Phone: 907-562-4606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ANTOINETTE CATHERINE CHILDRESS
Title or Position: LICENSE PROFESSIONAL COUNSELOR
Credential: MA,LPC,CDC,BHC
Phone: 907-575-1585