Healthcare Provider Details
I. General information
NPI: 1598327074
Provider Name (Legal Business Name): ANNA SAPPAH LPC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/03/2019
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4000 LAUREL ST
ANCHORAGE AK
99508-5333
US
IV. Provider business mailing address
7033 E TUDOR RD
ANCHORAGE AK
99507-1262
US
V. Phone/Fax
- Phone: 907-729-6300
- Fax:
- Phone: 907-729-6801
- Fax: 907-729-5180
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 180070 |
| License Number State | AK |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: