Healthcare Provider Details

I. General information

NPI: 1396671376
Provider Name (Legal Business Name): EDMOND ARROYO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ED ARROYO

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3760 PIPER ST STE 1108
ANCHORAGE AK
99508-4683
US

IV. Provider business mailing address

3760 PIPER ST STE 1108
ANCHORAGE AK
99508-4683
US

V. Phone/Fax

Practice location:
  • Phone: 907-212-6970
  • Fax:
Mailing address:
  • Phone:
  • 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:
Title or Position:
Credential:
Phone: