Healthcare Provider Details

I. General information

NPI: 1770174328
Provider Name (Legal Business Name): ASSETS INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2021
Last Update Date: 01/27/2021
Certification Date: 01/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3490 E 20TH AVE
ANCHORAGE AK
99508-3412
US

IV. Provider business mailing address

2330 NICHOLS ST
ANCHORAGE AK
99508-3458
US

V. Phone/Fax

Practice location:
  • Phone: 907-334-8619
  • Fax:
Mailing address:
  • Phone: 907-334-8619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VII. Legacy identifiers

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

VIII. Authorized Official

Name: MISTEE DAVIS
Title or Position: CHIEF OF SERVICES
Credential:
Phone: 907-334-8619