Healthcare Provider Details

I. General information

NPI: 1477682623
Provider Name (Legal Business Name): COUNSELING SOLUTIONS OF ALASKA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 03/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E TUDOR RD SUITE 135
ANCHORAGE AK
99503-7409
US

IV. Provider business mailing address

PO BOX 240068
ANCHORAGE AK
99524-0068
US

V. Phone/Fax

Practice location:
  • Phone: 907-644-8044
  • Fax: 907-644-8004
Mailing address:
  • Phone: 907-644-8044
  • Fax: 907-644-8004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateAK

VIII. Authorized Official

Name: MS. KATHLEEN A GIANOTTI
Title or Position: PARTNER
Credential: LMFT LPC
Phone: 907-644-8044