Healthcare Provider Details

I. General information

NPI: 1548087125
Provider Name (Legal Business Name): DENALI COVE COUNSELING CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2024
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 N STAR ST APT 13
ANCHORAGE AK
99503-1885
US

IV. Provider business mailing address

200 W 34TH AVE # 144
ANCHORAGE AK
99503-3969
US

V. Phone/Fax

Practice location:
  • Phone: 907-600-9285
  • Fax: 833-353-0144
Mailing address:
  • Phone: 907-600-9285
  • Fax: 833-353-0144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. LASHANDA MCGOWAN
Title or Position: OWNER
Credential: LCSW
Phone: 907-600-9285