Healthcare Provider Details

I. General information

NPI: 1255653168
Provider Name (Legal Business Name): INNERACTIONS COUNSELING AND EAP ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2010
Last Update Date: 02/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 CHRISTENSEN DR SUITE 2
ANCHORAGE AK
99501-2131
US

IV. Provider business mailing address

PO BOX 101038
ANCHORAGE AK
99510-1038
US

V. Phone/Fax

Practice location:
  • Phone: 907-677-1814
  • Fax: 907-677-1369
Mailing address:
  • Phone: 907-677-1814
  • Fax: 907-677-1369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number366
License Number StateAK
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number856
License Number StateAK

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. PATRICIA YVONNE MEISSNER
Title or Position: OWNER
Credential: LCSW
Phone: 907-677-1814