Healthcare Provider Details

I. General information

NPI: 1487788857
Provider Name (Legal Business Name): POSSIBILITIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 04/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 AMBER BAY LOOP
ANCHORAGE AK
99515-2319
US

IV. Provider business mailing address

PO BOX 242185
ANCHORAGE AK
99524-2185
US

V. Phone/Fax

Practice location:
  • Phone: 907-929-7344
  • Fax: 907-929-7344
Mailing address:
  • Phone: 907-929-7344
  • Fax: 907-929-7344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number422
License Number StateAK

VIII. Authorized Official

Name: MEGAN S WILTS
Title or Position: OWNER
Credential: MS, LPC
Phone: 907-929-7344